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NPI Code Detail

MEDICARE: MR. SCOTT GREGORY DANIELS PT

MEDICARE: MR. SCOTT GREGORY DANIELS 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
1225100000XPhysical TherapistPT-08283OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871592857
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT GREGORY DANIELS PT
Provider Business Mailing Address
First Line : 4701 CREEK RD
Second Line : SUITE 110
City : CINCINNATI
State : OH
Zip : 45242-8398
Country : US
Telephone Number : 513-544-8080
Fax Number : 513-544-8082
Provider Business Practice Location Address
First Line : 4701 CREEK RD
Second Line : SUITE 110
City : CINCINNATI
State : OH
Zip : 45242-8398
Country : US
Telephone Number : 513-544-8080
Fax Number : 513-544-8082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 10/10/2013

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