Individual provider Active NPI

Evan Ross Passalinqua, DPT

  • Physical Therapist
  • Hermitage, PA
National Provider Identifier
1063255982
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032273 Issued in PA
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

Updated by the provider on Jun 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
Penn Ohio Rehabilitation, PCGroup PAC ID 5799879482, 13 clinicians

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

OrganizationSpecialtyStatusNew patients
Penn Ohio Rehabilitation, PC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Penn Ohio Rehabilitation, PC Physical Therapist CurrentSince May 20, 2024 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.

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.

Verify at the official NPI Registry.