Individual
MR. SCOTT JONATHAN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3514 MAYLAND CT, RICHMOND, VA 23233-1421
(804) 747-0003
(804) 747-0043
Mailing address
3514 MAYLAND CT, RICHMOND, VA 23233-1421
(804) 747-0003
(804) 747-0043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2305203258
VA
2251X0800X
Orthopedic Physical Therapist
Primary
2305203258
VA
225700000X
Massage Therapist
0019004823
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0708920
UNITED HEALTHCARE
VA
01
—
150239
ALLIANCE PPO
VA
01
—
192519
ANTHEM BCBS
VA
01
—
201597792
TRICARE-NORTH
VA
01
—
2132404
M.D.IPA HEALTH PLAN
VA
01
—
2218247
FIRST HEALTH
VA
01
—
283517
SOUTHERN HEALTH SERVICES
VA
01
—
3695288
AETNA
VA
01
—
7230417
AETNA
VA
01
—
9028006
PHCS
VA
Enumeration date
07/10/2006
Last updated
10/07/2020
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