Provider Demographics
NPI:1124054846
Name:EXCEL THERAPY ASSOCIATES, PLC
Entity type:Organization
Organization Name:EXCEL THERAPY ASSOCIATES, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:MAYNARD
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:434-385-1680
Mailing Address - Street 1:1892 GRAVES MILL RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-4200
Mailing Address - Country:US
Mailing Address - Phone:434-385-1680
Mailing Address - Fax:434-385-1682
Practice Address - Street 1:1892 GRAVES MILL RD
Practice Address - Street 2:SUITE C
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-4200
Practice Address - Country:US
Practice Address - Phone:434-385-1680
Practice Address - Fax:434-385-1682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305006816225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty