Individual provider Active NPI

Ryan Scott Roush, PT, DPT

  • Physical Therapist
  • Dayton, OH
National Provider Identifier
1326670951
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018249 Issued in OH
Practice address
1435 Cincinnati St
Dayton, OH 45417-4614
Phone
(937) 449-0800
NPI assigned
Feb 11, 2020
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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 PT018249 OH Primary

Addresses

Primary practice location

1435 Cincinnati St
Dayton, OH 45417-4614

Mailing address

711 June Dr
Fairborn, OH 45324-5432
Phone (330) 301-4668

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117001778 OH Practitioner - Physical Therapist in Private Practice 7113398843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buckeye Senior Rehab LLCGroup PAC ID 4284017542, 16 clinicians

Practice addresses (Care Compare)

217 Doris Dr
West Milton, OH 45383-9902
Phone (937) 800-1030

7750 Paragon Rd
Dayton, OH 45459-4050
Phone 9372913780125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018249OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Senior Rehab LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Buckeye Senior Rehab LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients

Locations

7750 Paragon Rd
Washington Township, OH 45459
Phone (937) 291-3780

Organizations & group practices 2

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1326670951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 JUNE DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453245432",
            "telephone_number": "330-301-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 CINCINNATI ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454174614",
            "telephone_number": "937-449-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.