Individual provider Active NPI

Jerry A Rush, MPT

  • Physical Therapist
  • Lancaster, PA
National Provider Identifier
1396771275
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015692 Issued in PA
Practice address
248 Granite Run Dr
Lancaster, PA 17601-6804
Phone
(717) 560-2917
Fax
(717) 560-2985
NPI assigned
Jun 23, 2006
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X DAPT000618 PA
Physical Therapist 225100000X PT015692 PA Primary

Addresses

Primary practice location

248 Granite Run Dr
Lancaster, PA 17601-6804

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000443 PA Practitioner - Physical Therapist in Private Practice 1052302601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

660 E Main St
New Holland, PA 17557-1410
Phone (717) 354-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DAPT000618PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC CurrentSince Mar 1, 2019 Accepting new patients
Family Practice Center, PC Multi-Specialty CurrentSince Mar 1, 2019 Accepting new patients
Argires Marotti Physical Therapy CurrentSince Oct 6, 2020 Accepting new patients
Argires Marotti Neurosurgical Associates of Lancaster, PC Multi-Specialty Current Accepting new patients

Locations

1070 Dairy Ln
Elizabethtown, PA 17022
Phone (717) 361-7489

160 N Pointe Blvd
Ste 108
Lancaster, PA 17601
Phone (717) 415-7199

160 N Pointe Blvd
Ste 200
Lancaster, PA 17601
Phone (717) 358-0800

248 Granite Run Dr
Lancaster, PA 17601
Phone (717) 464-2917

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

75 Evelyn Dr
Millersburg, PA 17061
Phone (717) 692-4708

660 E Main St
New Holland, PA 17557
Phone (717) 354-7977

Interoperability endpoints

  • Direct secure messaging: jrush@direct.cprspt.com

Organizations & group practices 4

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1396771275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 GRANITE RUN DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016804",
            "telephone_number": "717-560-2917",
            "fax_number": "717-560-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "JERRY",
        "middle_name": "A",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT000618",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.