Provider Demographics
NPI:1841571809
Name:SCOTT-CROSS, TOBY LEAH (MOT, OTRL)
Entity type:Individual
Prefix:MS
First Name:TOBY
Middle Name:LEAH
Last Name:SCOTT-CROSS
Suffix:
Gender:F
Credentials:MOT, OTRL
Other - Prefix:
Other - First Name:TOBY
Other - Middle Name:LEAH
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTRL
Mailing Address - Street 1:2673 E SAWYER RD
Mailing Address - Street 2:
Mailing Address - City:REPUBLIC
Mailing Address - State:MO
Mailing Address - Zip Code:65738-7574
Mailing Address - Country:US
Mailing Address - Phone:417-324-7646
Mailing Address - Fax:812-773-6365
Practice Address - Street 1:2673 E SAWYER RD
Practice Address - Street 2:
Practice Address - City:REPUBLIC
Practice Address - State:MO
Practice Address - Zip Code:65738-7574
Practice Address - Country:US
Practice Address - Phone:417-324-7646
Practice Address - Fax:812-773-6365
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122845225X00000X
MO2024015639225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100268580Medicaid
KY7100268580Medicaid