Healthcare Provider Details

I. General information

NPI: 1740110097
Provider Name (Legal Business Name): SCOTT FOSTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

225 BIG STATION CAMP BLVD STE 208
GALLATIN TN
37066-8466
US

IV. Provider business mailing address

555 HARTSVILLE PIKE
GALLATIN TN
37066-2400
US

V. Phone/Fax

Practice location:
  • Phone: 615-328-5502
  • Fax: 615-328-6115
Mailing address:
  • Phone: 615-328-5502
  • Fax: 615-328-6115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4553
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: