Provider Demographics
NPI:1821097320
Name:SCOTT, JEAN (DPT, PT, OCS)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DPT, PT, OCS
Other - Prefix:MS
Other - First Name:JEAN
Other - Middle Name:ANN
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1311 MAMARONECK AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5224
Mailing Address - Country:US
Mailing Address - Phone:914-294-4050
Mailing Address - Fax:
Practice Address - Street 1:3370 PROGRESS DR
Practice Address - Street 2:SUITE K
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5811
Practice Address - Country:US
Practice Address - Phone:215-639-1600
Practice Address - Fax:215-639-8216
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT06735225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232667866OtherPRIVATE HEALTH CARE SYS #
PA554176OtherBLUE CROSS PROVIDER #
PA0304609006OtherBLUE CROSS/BS HMO
PA232667866OtherUNITED HEALTH CARE #
PA7842597OtherAETNA #