Provider Demographics
NPI:1639945413
Name:MIDDLETON, SCOTT FRANCIS JR (OT)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:FRANCIS
Last Name:MIDDLETON
Suffix:JR
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 LITTLETON RD UNIT E12
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3396
Mailing Address - Country:US
Mailing Address - Phone:978-204-4023
Mailing Address - Fax:
Practice Address - Street 1:7 BOYDS LN
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2829
Practice Address - Country:US
Practice Address - Phone:978-254-3342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12935225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist