Active NPI
Evan Ross Passalinqua, DPT
- Physical Therapist
- Hermitage, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT032273
- Practice address
- 1599 N Hermitage Rd
Hermitage, PA 16148-3180 - Phone
- (724) 662-1776
- Fax
- (724) 662-1858
- NPI assigned
- Jun 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT032273 | PA | Primary |
Addresses
Primary practice location
1599 N Hermitage Rd
Hermitage, PA 16148-3180
Mailing address
1599 N Hermitage Rd
Hermitage, PA 16148-3180
Phone (724) 662-1776
Other practice location 1
565 W Neshannock Ave
New Wilmington, PA 16142-1012
Phone (724) 946-3313
Other practice location 2
100 Perry Hwy Unit 110
Harmony, PA 16037-9200
Phone (412) 499-4524
Other practice location 3
139 N Erie St Ste 1
Mercer, PA 16137-1285
Phone (724) 662-1776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240626000918 | PA | Practitioner - Physical Therapist in Private Practice | 8820532377 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1599 N Hermitage Rd
Ste. B
Hermitage, PA 16148-4405
Phone (724) 962-7920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn Ohio Rehabilitation, PC | Physical Therapist | Current | Accepting new patients |
| Penn Ohio Rehabilitation, PC | Physical Therapist | Current | Accepting new patients |
Locations
100 Perry Hwy
Unit 110
Harmony, PA 16037
Phone (412) 499-4524
1599 N Hermitage Rd
Ste B
Hermitage, PA 16148
Phone (724) 962-7920
1599 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 962-7920
139 N Erie St
Ste 1
Mercer, PA 16137
Phone (724) 662-1776
565 W Neshannock Ave
New Wilmngtn, PA 16142
Phone (724) 946-3313
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- New Wilmington, PA
- NPI 1427241405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1063255982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1599 N HERMITAGE RD",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483180",
"telephone_number": "724-662-1776",
"fax_number": "724-662-1858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1599 N HERMITAGE RD",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483180",
"telephone_number": "724-662-1776",
"fax_number": "724-662-1858"
}
],
"practiceLocations": [
{
"address_1": "565 W Neshannock Ave",
"address_purpose": "LOCATION",
"city": "New Wilmington",
"state": "PA",
"postal_code": "161421012",
"country_code": "US",
"telephone_number": "724-946-3313",
"fax_number": "724-946-2770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Perry Hwy Unit 110",
"address_purpose": "LOCATION",
"city": "Harmony",
"state": "PA",
"postal_code": "160379200",
"country_code": "US",
"telephone_number": "412-499-4524",
"fax_number": "724-479-4524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "139 N Erie St Ste 1",
"address_purpose": "LOCATION",
"city": "Mercer",
"state": "PA",
"postal_code": "161371285",
"country_code": "US",
"telephone_number": "724-662-1776",
"fax_number": "724-662-1858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASSALINQUA",
"first_name": "EVAN",
"middle_name": "ROSS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT032273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.