Scott County R-IV School District

Organization Active NPI Physical Therapy Assistant · Benton, MO

NPI 1366514523 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1366514523
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Assistant 225200000X
License
116157 (MO)
Legal business name
SCOTT COUNTY R-IV SCHOOL DISTRICT
Practice address
4035 State Highway 77
Benton, MO 63736-9162
Phone
(573) 545-3541
Fax
(573) 545-3819
NPI assigned
Nov 14, 2006
Organization subpart
No

Authorized official

Name
Mrs. Dorothy Marie Deason
Title
Special Education Director
Phone
(573) 545-3541

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

4035 State Highway 77
Benton, MO 63736
Phone (573) 545-3541

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X 1999135026 MO
Physical Therapy Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
225200000X 116157 MO Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X 2005034501 MO
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X MO

Addresses

Primary practice location

4035 State Highway 77
Benton, MO 63736-9162

Mailing address

4035 State Highway 77
Benton, MO 63736-9162
Phone (573) 545-3541

Other providers in Benton, MO

All providers in Benton, MO · Physical Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.