Provider Demographics
NPI:1518951920
Name:LUDWIG, SCOTT TODD (MSPT)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:TODD
Last Name:LUDWIG
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 BRIGHTON ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-4043
Mailing Address - Country:US
Mailing Address - Phone:617-484-4068
Mailing Address - Fax:617-484-4086
Practice Address - Street 1:26 BRIGHTON ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-4043
Practice Address - Country:US
Practice Address - Phone:617-484-4068
Practice Address - Fax:617-484-4086
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5691225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist