Provider Demographics
NPI:1013915768
Name:GOLDINGER, SCOTT LEWIS (PT)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:LEWIS
Last Name:GOLDINGER
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 1:3655 ROUTE 202
Mailing Address - Street 2:STE 110
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-6600
Mailing Address - Country:US
Mailing Address - Phone:215-947-1174
Mailing Address - Fax:215-434-7255
Practice Address - Street 1:3655 ROUTE 202
Practice Address - Street 2:STE 110
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-6600
Practice Address - Country:US
Practice Address - Phone:215-947-1174
Practice Address - Fax:215-434-7255
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008431-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
G0194015Medicare ID - Type Unspecified