MEDICARE: EXCEL THERAPY ASSOCIATES, PLC

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	2305006816	VA

General Provider Information

NPI Number	:	1124054846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEL THERAPY ASSOCIATES, PLC

Provider Business Mailing Address
First Line	:	1892 GRAVES MILL RD
Second Line	:	SUITE C
City	:	LYNCHBURG
State	:	VA
Zip	:	24502-4200
Country	:	US
Telephone Number	:	434-385-1680
Fax Number	:	434-385-1682

Provider Business Practice Location Address
First Line	:	1892 GRAVES MILL RD
Second Line	:	SUITE C
City	:	LYNCHBURG
State	:	VA
Zip	:	24502-4200
Country	:	US
Telephone Number	:	434-385-1680
Fax Number	:	434-385-1682

Authorized Official
Title or Position	:	OWNER
Name	:	MR. STEPHEN MAYNARD SCOTT
Credential	:	P.T.
Telephone Number	:	434-385-1680

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	08/22/2020

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