MEDICARE: JOSEPH R. SCEARCE

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	2305202910	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	192929	OTHER	VA	TRIGON BLUE CROSS

General Provider Information

NPI Number	:	1003925140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH R. SCEARCE

Provider Business Mailing Address
First Line	:	PO BOX 4018
Second Line	:
City	:	DANVILLE
State	:	VA
Zip	:	24540-0101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13920 US HIGHWAY 29
Second Line	:
City	:	CHATHAM
State	:	VA
Zip	:	24531-3669
Country	:	US
Telephone Number	:	434-432-1680
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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Directions to “ JOSEPH R. SCEARCE ” Practice Location

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