Provider Demographics
NPI:1811939028
Name:SCOTT, STEVE CHRIS (PT)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:CHRIS
Last Name:SCOTT
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 1:334 W. PONCE DE LEON AVE
Mailing Address - Street 2:UNIT 311
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030
Mailing Address - Country:US
Mailing Address - Phone:404-245-2950
Mailing Address - Fax:
Practice Address - Street 1:6825 JIMMY CARTER BLVD
Practice Address - Street 2:SUITE 1100
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1228
Practice Address - Country:US
Practice Address - Phone:770-316-1775
Practice Address - Fax:404-855-4331
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT002981225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist