Provider Demographics
NPI:1811938228
Name:HELTZEL, SCOTT ALLEN (DPT)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:ALLEN
Last Name:HELTZEL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 W HARRISBURG ST STE A
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-1273
Mailing Address - Country:US
Mailing Address - Phone:717-502-7318
Mailing Address - Fax:175-027-5827
Practice Address - Street 1:126 W HARRISBURG ST STE A
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-1273
Practice Address - Country:US
Practice Address - Phone:717-502-7318
Practice Address - Fax:717-502-7582
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADAPT000699225100000X
PAPT016155225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019390270001Medicaid