Active NPI
Timothy Robert Dusch, PT
- Student in an Organized Health Care Education/Training Program
- Danville, PA
National Provider Identifier
1235649351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 100 N Academy Ave # 21-30
Danville, PA 17822-4302 - Phone
- (570) 214-5605
- NPI assigned
- Oct 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8811 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
100 N Academy Ave # 21-30
Danville, PA 17822-4302
Mailing address
100 N Academy Ave # 21-30
Danville, PA 17822-9800
Phone (570) 214-5605
Other practice location 1
610 W Palmetto St
Florence, SC 29501-4302
Phone (843) 407-0377
Other practice location 2
148 Sauls St Ste B
Lake City, SC 29560-2677
Phone (843) 374-0185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240706000062 | PA | Order and Referring Only - Orthopedic Surgery | 9537426267 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8811 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ih3 Physcial Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1235649351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE # 21-30",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178229800",
"telephone_number": "570-214-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE # 21-30",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224302",
"telephone_number": "570-214-5605"
}
],
"practiceLocations": [
{
"address_1": "610 W Palmetto St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295014302",
"country_code": "US",
"telephone_number": "843-407-0377",
"fax_number": "843-799-1944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "148 Sauls St Ste B",
"address_purpose": "LOCATION",
"city": "Lake City",
"state": "SC",
"postal_code": "295602677",
"country_code": "US",
"telephone_number": "843-374-0185",
"fax_number": "843-374-0189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUSCH",
"first_name": "TIMOTHY",
"middle_name": "ROBERT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-03",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8811",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.