Provider Demographics
NPI:1508523705
Name:MACLEOD, SCOT WILLIAM (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:SCOT
Middle Name:WILLIAM
Last Name:MACLEOD
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070-1241
Mailing Address - Country:US
Mailing Address - Phone:717-215-7673
Mailing Address - Fax:
Practice Address - Street 1:6402 CARLISLE PIKE
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2310
Practice Address - Country:US
Practice Address - Phone:717-591-3000
Practice Address - Fax:717-591-3003
Is Sole Proprietor?:No
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008478L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist