Individual provider Active NPI

Jeffrey Homer

  • Physical Therapist
  • Washington, PA
National Provider Identifier
1164813689
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024211 Issued in PA
Practice address
480 Johnson Rd
Suite 303
Washington, PA 15301-8936
Phone
(724) 223-2061
NPI assigned
Feb 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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 PT024211 PA Primary

Addresses

Primary practice location

480 Johnson Rd
Suite 303
Washington, PA 15301-8936

Mailing address

44 S Petrie Rd
Coraopolis, PA 15108-3304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122004221 PA Practitioner - Physical Therapist in Private Practice 5799137014 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Level Spine and Sports Injury Center LLCGroup PAC ID 2961640834, 16 clinicians
Burgettstown Physical Therapy LLCGroup PAC ID 5294623153, 14 clinicians
Hess Physical Therapy LLCGroup PAC ID 1557253077, 22 clinicians

Practice addresses (Care Compare)

2402 Nicholson Rd
Suite 103
Sewickley, PA 15143-8647
Phone (724) 719-2900

3627 Brodhead Rd
Suite 2
Monaca, PA 15061-2881
Phone (724) 775-6012

566 Pine Hollow Rd
MC Kees Rocks, PA 15136-1661
Phone (412) 771-1055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Burgettstown Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Hess Physical Therapy LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Square One Physical Therapy LLC Physical Therapist CurrentSince Nov 21, 2023 Accepting new patients
The Physical Therapy Institute Past Accepting new patients
The Physical Therapy Institute Physical Therapist Past Accepting new patients

Locations

2038 Smith Township State Rd
Ste 4
Burgettstown, PA 15021
Phone (724) 825-5480

566 Pine Hollow Rd
Mc Kees Rocks, PA 15136
Phone (412) 771-1055

3627 Brodhead Rd
Ste 2
Monaca, PA 15061
Phone (724) 775-6012

1145 Bower Hill Rd
Ste 305
Pittsburgh, PA 15243
Phone (412) 206-6770

4543 McKnight Rd
Pittsburgh, PA 15237
Phone (412) 748-1616

470 Johnson Rd
Ste 140
Washington, PA 15301
Phone (412) 670-2845

Organizations & group practices 6

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": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1164813689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 S PETRIE RD",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151083304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 JOHNSON RD",
            "address_2": "SUITE 303",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018936",
            "telephone_number": "724-223-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMER",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.