Healthcare Provider Details

I. General information

NPI: 1861673600
Provider Name (Legal Business Name): SOMER NICOLE SCARANO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3235 MARION DR
PALM HARBOR FL
34684-1651
US

IV. Provider business mailing address

3235 MARION DR
PALM HARBOR FL
34684-1651
US

V. Phone/Fax

Practice location:
  • Phone: 973-809-7858
  • Fax:
Mailing address:
  • Phone: 973-809-7858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 23624
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number23624
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: