=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578077012
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIN SCOTT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/20/2017
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2121 BOUNDARY ST STE 200
-----------------------------------------------------
City | BEAUFORT
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29902-6812
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-524-4778
-----------------------------------------------------
Fax | 843-524-4779
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2585
-----------------------------------------------------
City | BEAUFORT
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29901-2585
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-524-4778
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 9757
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------