Taniesha Tillar Scoggins, DPT
Individual provider Active NPI Physical Therapist · Windsor, VA
NPI 1720515976 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1720515976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305204990 (VA)
- Practice address
- 23352 Courthouse Hwy
Windsor, VA 23487-5333 - Phone
- (757) 242-8456
- NPI assigned
- May 18, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305204990 | VA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305204990 | VA | Yes |
Addresses
Primary practice location
23352 Courthouse Hwy
Windsor, VA 23487-5333
Mailing address
104 Integra Court
Suffolk, VA 23434
Phone (757) 539-5904
Other practice location 1
2580 Pruden Blvd
Suffolk, VA 23434-4229
Phone (757) 923-0287
Other providers in Windsor, VA
- Jennifer Prashaw
- Steven Robert Rassi
- Katherine Reid
- Trina Loretta Ruffin
- Robin Marie Schussler
- SCT Transportation LLC
- Huma A. Shamsi
- Jennifer Nicole Simpson
- Angela Y Smith
- Leigh Ann Songer
All providers in Windsor, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.