Individual provider Active NPI

Nicholas J Rodio, DPT

  • Physical Therapist
  • Troy, PA
National Provider Identifier
1073828364
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020891 Issued in PA
Practice address
7731 Route 6
Troy, PA 16947-9253
Phone
(570) 297-2774
Fax
(570) 297-3547
NPI assigned
Aug 11, 2010
Last updated
Nov 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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 PT020891 PA Primary

Addresses

Primary practice location

7731 Route 6
Troy, PA 16947-9253

Mailing address

24569 Route 6
Suite C
Towanda, PA 18848-5254
Phone (570) 265-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000004 PA Practitioner - Physical Therapist in Private Practice 6002004017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pivot Physical Therapy of Pennsylvania LLCGroup PAC ID 4981971843, 123 clinicians

Practice addresses (Care Compare)

542 Boulevard Ave
Dickson City, PA 18519-1750
Phone (570) 489-5010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist CurrentSince Apr 1, 2017 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist Past Accepting new patients

Locations

328 Market St
Lewisburg, PA 17837
Phone (570) 768-4922

417 Grow Ave
Montrose, PA 18801
Phone (570) 278-1101

542 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-4567

655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142

24569 Route 6
#C
Towanda, PA 18848
Phone (570) 265-1111

130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850

7731 Route 6
Troy, PA 16947
Phone (570) 297-2774

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1073828364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24569 ROUTE 6",
            "address_2": "SUITE C",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188485254",
            "telephone_number": "570-265-1111",
            "fax_number": "570-265-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7731 ROUTE 6",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169479253",
            "telephone_number": "570-297-2774",
            "fax_number": "570-297-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIO",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.