MEDICARE: THERESA SCOTT PTA

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	225200000X	Physical Therapy Assistant	A3563	MD

General Provider Information

NPI Number	:	1114883683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA SCOTT PTA

Provider Business Mailing Address
First Line	:	31 MAGOTHY BEACH RD
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-4423
Country	:	US
Telephone Number	:	443-618-7575
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 MAGOTHY BEACH RD
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-4423
Country	:	US
Telephone Number	:	443-618-7575
Fax Number	:

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

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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Directions to “ THERESA SCOTT PTA” Practice Location

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