MEDICARE: JOHN SCALICI 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	0090391	NY
2	225100000X	Physical Therapist	2305204675	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00395282	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	192971	OTHER	VA	BCBS PHY THERAPY
2	7500685	OTHER	VA	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376571190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN SCALICI PT

Provider Business Mailing Address
First Line	:	PO BOX 69030
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-9030
Country	:	US
Telephone Number	:	757-873-2306
Fax Number	:	757-873-2306

Provider Business Practice Location Address
First Line	:	2106 EXECUTIVE DR
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-2402
Country	:	US
Telephone Number	:	757-838-6678
Fax Number	:	757-838-8116

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	05/03/2018

Similar Medicare Providers

1639068224 — AMY MICHELLE COENEN
Practice Location Address:

2104 EXECUTIVE DR
HAMPTON, VA
23666-2402

Practice Phone: 757-880-2254
Practice Fax:

1437141801 — DR. RICHARD B. MCADAM M.D.
Practice Location Address:

2102 EXECUTIVE DR
HAMPTON, VA
23666-2402

Practice Phone: 757-838-1844
Practice Fax: 757-838-4419

1174506950 — DR. JOHN PAUL JONES M.D.
Practice Location Address:

2116 EXECUTIVE DR
HAMPTON, VA
23666-2402

Practice Phone: 757-825-4260
Practice Fax: 757-825-4265

1770545196 — MR. WAYNE MACMASTERS PT, MS PT
Practice Location Address:

2106 EXECUTIVE DR
HAMPTON, VA
23666-2402

Practice Phone: 757-383-6678
Practice Fax: 757-838-8116

1871556647 — CATHERINE C. WELSH NP
Practice Location Address:

2104 EXECUTIVE DR
HAMPTON, VA
23666-2402

Practice Phone: 757-736-3700
Practice Fax: 757-827-9978

1225081201 — TIDEWATER HEART INSTITUTE INC
Practice Location Address:

2116 EXECUTIVE DR
HAMPTON, VA
23666-2402

Practice Phone: 757-825-4260
Practice Fax: 757-825-4265

Directions to “ JOHN SCALICI PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.