Provider Demographics
NPI:1215946322
Name:SCOTT, ABBY LYNN (MPT, ATC)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:LYNN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MPT, ATC
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:LYNN
Other - Last Name:CUNKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:118 NATURE PARK RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6960
Mailing Address - Country:US
Mailing Address - Phone:724-689-0571
Mailing Address - Fax:724-689-0560
Practice Address - Street 1:118 NATURE PARK RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6960
Practice Address - Country:US
Practice Address - Phone:724-689-0571
Practice Address - Fax:724-689-0560
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT014294225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA680883OtherKEYSTONE
PA680883OtherKEYSTONE