Individual provider Active NPI

Eric Vernon Paugh, DPT

  • Physical Therapist
  • Wyncote, PA
National Provider Identifier
1205244399
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023796 Issued in PA
Practice address
3201 West Cheltenham Ave.
Wyncote, PA 19095
Phone
(215) 517-7551
NPI assigned
Aug 1, 2014
Last updated
Aug 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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 PT023796 PA Primary

Addresses

Primary practice location

3201 West Cheltenham Ave.
Wyncote, PA 19095

Mailing address

1103 Dreher Ave
Stroudsburg, PA 18360-1404
Phone (570) 350-8504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220224002730 PA Practitioner - Physical Therapist in Private Practice 2365836988 Reassigns benefits to 2 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
Penn Ohio Rehabilitation, PCGroup PAC ID 5799879482, 13 clinicians

Practice addresses (Care Compare)

565 W Neshannock Ave
New Wilminton, PA 16142-3228
Phone (724) 946-3313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT023796PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rehabilitation Systems, Inc. Current Accepting new patients
Keystone Rehabilitation Systems, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Penn Ohio Rehabilitation, PC Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients
Penn Ohio Rehabilitation, PC Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients
Keystone Rehabilitation Systems, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Novacare Outpatient Rehabilitation East Inc Past Accepting new patients

Locations

100 Perry Hwy
Unit 110
Harmony, PA 16037
Phone (412) 499-4524

1599 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 962-7920

1599 N Hermitage Rd
Ste B
Hermitage, PA 16148
Phone (724) 962-7920

139 N Erie St
Ste 1
Mercer, PA 16137
Phone (724) 662-1776

725 Cherrington Pkwy
Ste 200
Moon Twp, PA 15108
Phone (412) 262-7800

565 W Neshannock Ave
New Wilmngtn, PA 16142
Phone (724) 946-3313

Organizations & group practices 7

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": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1205244399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 DREHER AVE",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601404",
            "telephone_number": "570-350-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WEST CHELTENHAM AVE.",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "19095",
            "telephone_number": "215-517-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUGH",
        "first_name": "ERIC",
        "middle_name": "VERNON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.