Provider Demographics
NPI:1578803490
Name:SCOTT, SARA R (DPT)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:R
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:R
Other - Last Name:WOELFEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12306 HOWLAND PARK DR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-2892
Mailing Address - Country:US
Mailing Address - Phone:734-259-2701
Mailing Address - Fax:333-395-9988
Practice Address - Street 1:23955 FREEWAY PARK DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-2817
Practice Address - Country:US
Practice Address - Phone:734-259-2701
Practice Address - Fax:833-339-5998
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501301733225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist