Provider Demographics
NPI:1609120336
Name:STEPENOSKY, SCOTT DAVID (DPT)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:DAVID
Last Name:STEPENOSKY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 5TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-2607
Mailing Address - Country:US
Mailing Address - Phone:717-747-8350
Mailing Address - Fax:717-718-3150
Practice Address - Street 1:1855 POWDER MILL RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4723
Practice Address - Country:US
Practice Address - Phone:717-747-8350
Practice Address - Fax:717-718-3150
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-02
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6755225100000X
FL27839225100000X
PAPT023173225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist