Provider Demographics
NPI:1366223430
Name:NORCROSS, ERIC SCOTT (PT)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:SCOTT
Last Name:NORCROSS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993 HARVEST CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1515
Mailing Address - Country:US
Mailing Address - Phone:317-435-8570
Mailing Address - Fax:
Practice Address - Street 1:8325 E SOUTHPORT RD STE 120
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46259-6834
Practice Address - Country:US
Practice Address - Phone:317-528-7223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05006244A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist