Organization Active NPI

Roscoe Physiotherapy Co

  • Physical Therapy Clinic/Center
  • Hermitage, PA
National Provider Identifier
1194255786
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT021467 Issued in PA
Legal business name
ROSCOE PHYSIOTHERAPY CO
Practice address
100 N Keel Ridge Rd
Hermitage, PA 16148-3440
Phone
(724) 813-0933
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Anthony Roscoe, PT, DPTNPI 1639467608
Title
Physical Therapist/Owner
Phone
(724) 813-0933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT021467 PA Primary

Addresses

Primary practice location

100 N Keel Ridge Rd
Hermitage, PA 16148-3440

Mailing address

28 Hogue Drive
West Middlesex, PA 16159-2512
Phone (724) 813-0933

Other practice location 1

28 Hogue Drive
West Middlesex, PA 16159
Phone (724) 813-0933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170906000986 PA Part B Supplier - Clinic/Group Practice 1153694690 Receives reassigned benefits from 7 practitioners
Practice locations: Hermitage, PA

National Provider Directory

National Provider Directory

Locations

151 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 982-4266

Practitioners & affiliated clinicians

Practitioners 8

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": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194255786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HOGUE DRIVE",
            "city": "WEST MIDDLESEX",
            "state": "PA",
            "postal_code": "161592512",
            "telephone_number": "724-813-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N KEEL RIDGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483440",
            "telephone_number": "724-813-0933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Hogue Drive",
            "address_purpose": "LOCATION",
            "city": "West Middlesex",
            "state": "PA",
            "postal_code": "16159",
            "country_code": "US",
            "telephone_number": "724-813-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSCOE PHYSIOTHERAPY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSCOE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "724-813-0933",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT021467",
            "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 Jul 21, 2022; 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.