Scott Davis

Individual provider Active NPI Physical Therapist · Waretown, NJ

NPI 1629987201 · NPPES record last updated Sep 1, 2026

Key facts

NPI
1629987201
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA02446800 (NJ)
Practice address
500 Route 9 Unit B1
Waretown, NJ 08758-1767
Phone
(609) 488-1878
Fax
(866) 842-7430
NPI assigned
Sep 1, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02446800 NJ Yes

Addresses

Primary practice location

500 Route 9 Unit B1
Waretown, NJ 08758-1767

Mailing address

500 Route 9 Unit B1
Waretown, NJ 08758-1767
Phone (609) 488-1878

Other providers in Waretown, NJ

All providers in Waretown, NJ · Physical Therapist in New Jersey

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.