Provider Demographics
NPI: | 1750478343 |
---|---|
Name: | PRITT, JAMES SCOTT (PT) |
Entity Type: | Individual |
Prefix: | |
First Name: | JAMES |
Middle Name: | SCOTT |
Last Name: | PRITT |
Suffix: | |
Gender: | M |
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: | 3060 DAYTON XENIA RD STE A |
Mailing Address - Street 2: | |
Mailing Address - City: | BEAVERCREEK |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 45434-6393 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 937-427-2225 |
Mailing Address - Fax: | 937-405-1078 |
Practice Address - Street 1: | 3060 DAYTON XENIA RD STE A |
Practice Address - Street 2: | |
Practice Address - City: | BEAVERCREEK |
Practice Address - State: | OH |
Practice Address - Zip Code: | 45434-6393 |
Practice Address - Country: | US |
Practice Address - Phone: | 937-427-2225 |
Practice Address - Fax: | 937-405-1078 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-10-06 |
Last Update Date: | 2022-07-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | PT 006681 | 2251C2600X, 2251E1200X, 2251S0007X, 2251X0800X, 2251G0304X, 2251H1300X |
OH | PT006681 | 225100000X |
OH | AT 000680 | 2255A2300X, 225500000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
No | 2251C2600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Cardiopulmonary |
No | 2251E1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Ergonomics |
No | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports |
No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No | 2251G0304X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Geriatrics |
No | 2251H1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Human Factors |
No | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer |
No | 225500000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist |