MEDICARE: TARA SCOTT PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	05008031A	IN

General Provider Information

NPI Number	:	1558214502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA SCOTT PT

Provider Business Mailing Address
First Line	:	11678 DARSLEY DR
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46037-8214
Country	:	US
Telephone Number	:	317-750-9643
Fax Number	:

Provider Business Practice Location Address
First Line	:	14065 WESTINGHOUSE DR
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-9450
Country	:	US
Telephone Number	:	317-620-0232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ TARA SCOTT PT” Practice Location

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