MEDICARE: BETTY JEAN SCOTTO M.S.P.T.

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	P20945	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Q70681	OTHER	NY	BLUE CROSS BLUE SHIELD
2	1205997004	OTHER	NY	NPI

General Provider Information

NPI Number	:	1205997004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETTY JEAN SCOTTO M.S.P.T.

Provider Business Mailing Address
First Line	:	1242 CHINQUAPIN MOUNTAIN RD
Second Line	:
City	:	FRANKLIN
State	:	NC
Zip	:	28734-4582
Country	:	US
Telephone Number	:	631-987-4749
Fax Number	:

Provider Business Practice Location Address
First Line	:	1242 CHINQUAPIN MOUNTAIN RD
Second Line	:
City	:	FRANKLIN
State	:	NC
Zip	:	28734-4582
Country	:	US
Telephone Number	:	631-987-4749
Fax Number	:

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

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	03/07/2022

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