Active NPI
Richard J Roscoe, PT CHT
- Physical Therapist
- Princeton, NJ
National Provider Identifier
1497724868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA00177800
- Practice address
- 325 Princeton Ave
Princeton, NJ 08540-1617 - Phone
- (609) 924-8131
- Fax
- (609) 924-8535
- NPI assigned
- Mar 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | QA00177800 | NJ | Primary |
Addresses
Primary practice location
325 Princeton Ave
Princeton, NJ 08540-1617
Mailing address
16 Timber Wolf Dr
Hamilton, NJ 08620-1331
Phone (609) 213-6287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QA00177800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Physical Therapy Services | Physical Therapist | Past | Accepting new patients |
| Centers for Physical Therapy @ St. Frances | Physical Therapist | Past | Accepting new patients |
| Ipta Clinical, LLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Hamilton, NJ
- NPI 1205857133
Physical Therapist
-
- Physical Therapist
- Hamilton, NJ
- NPI 1639182272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1497724868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 TIMBER WOLF DR",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086201331",
"telephone_number": "609-213-6287",
"fax_number": "609-581-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PRINCETON AVE",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085401617",
"telephone_number": "609-924-8131",
"fax_number": "609-924-8535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSCOE",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QA00177800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.