Crossroads Physical Therapy and Rehabilitation, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CROSSROADS PHYSICAL THERAPY AND REHABILITATION, INC.

Practice address

1798 Plank Rd Ste 103
Duncansville, PA 16635-8389

Phone

(814) 696-3400

Fax

(814) 696-3402

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas I Parnell III, MSPT, ATC

Title

Ceo

Phone

(814) 696-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Crossroads Physical Therapy and Rehabilitation, Inc.

  • Physical Therapist
  • Duncansville, PA
  • NPI 1124155775

  O20030819000041

  Same enrollment
• Crossroads Physical Therapy and Rehabilitation, Inc.

  • Occupational Therapist
  • Duncansville, PA
  • NPI 1407983166

  O20030819000041

  Same enrollment
• Crossroads Physical Therapy and Rehabilitation, Inc.

  • Physical Therapist
  • Duncansville, PA
  • NPI 1558477828

  O20030819000041

  Same enrollment

Tax ID family

Crossroads Physical Therapy and Rehab Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Crossroads Physical Therapy and Rehabilitation, Inc.

  • Physical Therapist
  • Duncansville, PA
  • NPI 1124155775
  NPD tax ID
• Crossroads Physical Therapy and Rehabilitation, Inc.

  • Occupational Therapist
  • Duncansville, PA
  • NPI 1407983166
  NPD tax ID
• Crossroads Physical Therapy and Rehabilitation, Inc.

  • Physical Therapist
  • Duncansville, PA
  • NPI 1558477828
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1467589028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 PLANK RD STE 103",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358389",
            "telephone_number": "814-696-3400",
            "fax_number": "814-696-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 PLANK RD STE 103",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358389",
            "telephone_number": "814-696-3400",
            "fax_number": "814-696-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PHYSICAL THERAPY AND REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-696-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MSPT, ATC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK ST",
            "identifier": "1339585",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Conzo, CRS
• Bridget Olivia Corey, DPM
• Lindsay Brianne Corle, OD
• Crossroads Physical Therapy and Rehabilitation, Inc.
• Crossroads Physical Therapy and Rehabilitation, Inc.
• Crossroads Physical Therapy and Rehabilitation, Inc.
• Sandra L Custer, CRS
• Vicki Rae Davis, RN
• Miriam Defay, PT
• Jennifer Marie Dibert, PTA

• Speech-Language Pathologist in Duncansville, PA
• Providers in Duncansville, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.