Provider Demographics
NPI:1841571809
Name:SCOTT-CROSS, TOBY LEAH (MOT, OTRL)
Entity Type:Individual
Prefix:MS
First Name:TOBY
Middle Name:LEAH
Last Name:SCOTT-CROSS
Suffix:
Gender:F
Credentials:MOT, OTRL
Other - Prefix:
Other - First Name:TOBY
Other - Middle Name:LEAH
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTRL
Mailing Address - Street 1:PO BOX 5629
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47716-5629
Mailing Address - Country:US
Mailing Address - Phone:812-401-3258
Mailing Address - Fax:812-773-6365
Practice Address - Street 1:175 S ENGLISH STATION RD
Practice Address - Street 2:SUITE 220
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-4160
Practice Address - Country:US
Practice Address - Phone:502-245-1136
Practice Address - Fax:502-245-1146
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201008077225X00000X
KYR5367225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100268580Medicaid
KY7100268580Medicaid