Healthcare Provider Details

I. General information

NPI: 1326113499
Provider Name (Legal Business Name): SCOTT GREGORY HANKINS MPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 11/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

895 STATE FARM RD STE 303
BOONE NC
28607-4917
US

IV. Provider business mailing address

2165 MEDICAL PARK DR
HICKORY NC
28602-8809
US

V. Phone/Fax

Practice location:
  • Phone: 828-264-0501
  • Fax: 828-262-0935
Mailing address:
  • Phone: 828-294-9130
  • Fax: 828-291-9159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP16264
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2000166673
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: