MEDICARE: MR. SCOTT LEWIS GOLDINGER PT

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	PT008431-L	PA

General Provider Information

NPI Number	:	1013915768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT LEWIS GOLDINGER PT

Provider Business Mailing Address
First Line	:	3655 ROUTE 202
Second Line	:	STE 110
City	:	DOYLESTOWN
State	:	PA
Zip	:	18902-6600
Country	:	US
Telephone Number	:	215-947-1174
Fax Number	:	215-434-7255

Provider Business Practice Location Address
First Line	:	3655 ROUTE 202
Second Line	:	STE 110
City	:	DOYLESTOWN
State	:	PA
Zip	:	18902-6600
Country	:	US
Telephone Number	:	215-947-1174
Fax Number	:	215-434-7255

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	10/16/2023

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