MEDICARE: SCOTT MICHAEL CESARI 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	PT009946L	PW
2	225100000X	Physical Therapist	40QA00620400	NJ

General Provider Information

NPI Number	:	1962406488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT MICHAEL CESARI PT

Provider Business Mailing Address
First Line	:	421 S BEST AVE
Second Line	:
City	:	WALNUTPORT
State	:	PA
Zip	:	18088-1217
Country	:	US
Telephone Number	:	610-760-1520
Fax Number	:	610-760-1721

Provider Business Practice Location Address
First Line	:	269 BLUE VALLEY DR
Second Line	:
City	:	BANGOR
State	:	PA
Zip	:	18013-1512
Country	:	US
Telephone Number	:	610-588-3284
Fax Number	:	610-588-3877

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	09/11/2025

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Directions to “ SCOTT MICHAEL CESARI PT” Practice Location

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