Provider Demographics
NPI:1639225022
Name:OAKS, SCOTT MITCHELL (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:MITCHELL
Last Name:OAKS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 ROBINWOOD PL
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-1283
Mailing Address - Country:US
Mailing Address - Phone:434-822-0484
Mailing Address - Fax:434-822-0486
Practice Address - Street 1:4819C RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-5537
Practice Address - Country:US
Practice Address - Phone:434-822-0484
Practice Address - Fax:434-822-0486
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist