Provider Demographics
NPI:1083463889
Name:SCOTT, DANIELLE EILEEN (DPT, PT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:EILEEN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1769
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20118-1769
Mailing Address - Country:US
Mailing Address - Phone:571-918-0197
Mailing Address - Fax:571-918-4253
Practice Address - Street 1:30 CATOCTIN CIR SE STE 112
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-3614
Practice Address - Country:US
Practice Address - Phone:571-918-0197
Practice Address - Fax:571-918-4253
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305216505225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist