Provider Demographics
NPI:1518922210
Name:SCOTT, MONICA JANEL (PT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:JANEL
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 N STOCKTON AVE
Mailing Address - Street 2:
Mailing Address - City:WENONAH
Mailing Address - State:NJ
Mailing Address - Zip Code:08090-2051
Mailing Address - Country:US
Mailing Address - Phone:412-287-2667
Mailing Address - Fax:856-579-7734
Practice Address - Street 1:553 N EVERGREEN AVE
Practice Address - Street 2:DOCTOR PHYSICAL THERAPY
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-1855
Practice Address - Country:US
Practice Address - Phone:856-579-7201
Practice Address - Fax:856-579-7734
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007760L225100000X
NJ40QA014785002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist