MEDICARE: DR AGATA SCOT PLLC

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

General Provider Information

NPI Number	:	1528897238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR AGATA SCOT PLLC

Provider Business Mailing Address
First Line	:	136 LAKOTA PASS
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78738-6563
Country	:	US
Telephone Number	:	512-796-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 LAKOTA PASS
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78738-6563
Country	:	US
Telephone Number	:	512-796-7000
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	AGATA SCOTT
Credential	:	PT, DPT
Telephone Number	:	512-796-7000

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	07/31/2024

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Directions to “DR AGATA SCOT PLLC ” Practice Location

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