Provider Demographics
NPI:1942262878
Name:NESCOT, ANN E (MS, PT)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:E
Last Name:NESCOT
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 PELLIS RD
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4777
Mailing Address - Country:US
Mailing Address - Phone:724-850-7587
Mailing Address - Fax:724-850-9909
Practice Address - Street 1:1111 LOWRY AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-3063
Practice Address - Country:US
Practice Address - Phone:724-523-0441
Practice Address - Fax:724-523-0437
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005560L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008596120002Medicaid
PAQ01723Medicare UPIN
PA1008596120002Medicaid