MEDICARE: AMBER MISHAEL SCOTT PT, DPT

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	9287	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1932546629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER MISHAEL SCOTT PT, DPT

Provider Business Mailing Address
First Line	:	PO BOX 306393
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37230-6393
Country	:	US
Telephone Number	:	615-373-1350
Fax Number	:	615-221-9054

Provider Business Practice Location Address
First Line	:	7101 RAMSEY WAY
Second Line	:
City	:	DICKSON
State	:	TN
Zip	:	37055-1586
Country	:	US
Telephone Number	:	615-441-2707
Fax Number	:	615-446-6732

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

Provider Enumeration Date	:	06/04/2013
Last Update Date	:	12/08/2020

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