Scott William Boyer, P.T., DPT, OCS
Individual provider Active NPI Physical Therapist · Fort Gordon, GA
NPI 1003046608 · NPPES record last updated Oct 8, 2019
Key facts
- NPI
- 1003046608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT012400 (GA)
- Practice address
- 300 W Hospital Rd
Fort Gordon, GA 30905-5741 - Phone
- (706) 787-1024
- Fax
- (706) 787-7201
- NPI assigned
- Jul 17, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012400 | GA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012400 | GA | Yes |
Addresses
Primary practice location
300 W Hospital Rd
Fort Gordon, GA 30905-5741
Mailing address
300 W Hospital Rd
Fort Gordon, GA 30905-5741
Phone (706) 787-1024
Other providers in Fort Gordon, GA
- Caroline Dupuy Bliven
- Amayi Maria Bloodsaw
- Michael D Boehm
- Rebecca Blair Bonin
- David Alan Bookstaver
- Arthur Eugene Bradley
- Collin Bradley
- Walter Dewey Branch II
- Nicolas Bravo III
- Mauri Britt
All providers in Fort Gordon, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.