Individual provider Active NPI

Nicolas Shuscavage, DPT

  • Orthopedic Physical Therapist
  • Lancaster, PA
National Provider Identifier
1407309917
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT025388 Issued in PA
Practice address
160 N Pointe Blvd Ste 108
Lancaster, PA 17601-4134
Phone
(717) 415-7199
NPI assigned
Aug 1, 2016
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT025388 PA
Orthopedic Physical Therapist 2251X0800X PT025388 PA Primary

Addresses

Primary practice location

160 N Pointe Blvd Ste 108
Lancaster, PA 17601-4134

Mailing address

160 N Pointe Blvd Ste 108
Lancaster, PA 17601-4134
Phone (717) 415-7199

Other practice location 1

1608 Walnut St
Suite 200
Philadelphia, PA 19103-5457
Phone (215) 545-8717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921000114 PA Practitioner - Physical Therapist in Private Practice 7618264524 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025388PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Physical Therapy Lancaster LLC Orthopedic Current Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Sep 15, 2024 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Jul 29, 2016 Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

156 Airport Rd
Coatesville, PA 19320
Phone (267) 351-2215

1438 Chestnut St
Unit 3
Emmaus, PA 18049
Phone (610) 904-8204

83 Dowlin Forge Rd
Exton, PA 19341
Phone (610) 363-9060

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

29 Keller Ave
Ste 102
Lancaster, PA 17601
Phone (717) 740-2678

1608 Walnut St
Ste 200
Philadelphia, PA 19103
Phone (215) 545-8717

Organizations & group practices 3

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": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1407309917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N POINTE BLVD STE 108",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014134",
            "telephone_number": "717-415-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N POINTE BLVD STE 108",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014134",
            "telephone_number": "717-415-7199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Walnut St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191035457",
            "country_code": "US",
            "telephone_number": "215-545-8717",
            "fax_number": "215-545-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUSCAVAGE",
        "first_name": "NICOLAS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-01",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025388",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT025388",
            "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 Apr 8, 2026; 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.