Organization Active NPI

Cambridge Physical Therapy, Inc.

  • Physical Therapist
  • Cambridge, OH
National Provider Identifier
1154438174
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 007146 Issued in OH
Legal business name
CAMBRIDGE PHYSICAL THERAPY, INC.
Practice address
216 Highland Ave
Suite B
Cambridge, OH 43725-2558
Phone
(740) 439-7177
Fax
(740) 432-1053
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Mr. Christopher J Rocco
Title
President
Phone
(740) 439-7177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 007146 OH Primary

Addresses

Primary practice location

216 Highland Ave
Suite B
Cambridge, OH 43725-2558

Mailing address

216 Highland Ave
Suite B
Cambridge, OH 43725-2558
Phone (740) 439-7177

Other identifiers 1

IdentifierTypeStateIssuer
2369360MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230414000186 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9830140912 Receives reassigned benefits from 1 practitioner
Practice locations: Cambridge, OH

National Provider Directory

National Provider Directory

Locations

216 Highland Ave
Ste B
Cambridge, OH 43725
Phone (740) 439-7177

1225 Woodlawn Ave
Ste 105
Cambridge, OH 43725
Phone (740) 732-1053

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1154438174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HIGHLAND AVE",
            "address_2": "SUITE B",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252558",
            "telephone_number": "740-439-7177",
            "fax_number": "740-432-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HIGHLAND AVE",
            "address_2": "SUITE B",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252558",
            "telephone_number": "740-439-7177",
            "fax_number": "740-432-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "ROCCO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-439-7177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 007146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2369360",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.