Provider Demographics
NPI:1295548600
Name:SCOTT, JONATHAN J (CP,LP)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:J
Last Name:SCOTT
Suffix:
Gender:M
Credentials:CP,LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16618 ROSE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-3685
Mailing Address - Country:US
Mailing Address - Phone:361-800-1087
Mailing Address - Fax:
Practice Address - Street 1:8203 WILLOW PLACE DR S STE 555
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5625
Practice Address - Country:US
Practice Address - Phone:361-800-1087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1719224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist