Provider Demographics
NPI:1831906395
Name:PRIOR, SCOTT JAMES (DPT)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:JAMES
Last Name:PRIOR
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 1:336 LAKESIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07843-1620
Mailing Address - Country:US
Mailing Address - Phone:973-945-7178
Mailing Address - Fax:
Practice Address - Street 1:406 ROUTE 23 STE 4
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NJ
Practice Address - Zip Code:07416-2145
Practice Address - Country:US
Practice Address - Phone:973-657-2800
Practice Address - Fax:973-814-4777
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02309400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist