Individual provider Active NPI

Scott Bruce Rothman, D.C.

  • Chiropractor
  • Wayne, PA
National Provider Identifier
1558362160
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002806L Issued in PA
Practice address
228 W Wayne Ave
Wayne, PA 19087-3922
Phone
(610) 688-2860
NPI assigned
Aug 4, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002806L PA Primary

Addresses

Primary practice location

228 W Wayne Ave
Wayne, PA 19087-3922

Mailing address

228 W Wayne Ave
Wayne, PA 19087-3922
Phone (610) 688-2860

Other identifiers 1

IdentifierTypeStateIssuer
131925OtherPABLUE CROSS BLUE SHIELD NU

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080818000145 PA Practitioner - Chiropractic 8022183656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

239 B Conestoga Rd
Wayne, PA 19087-3916
Phone (610) 688-2860

239 Conestoga Rd B
Wayne, PA 19087-3916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC002806LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Chiropractic Health Center, PC Chiropractor CurrentSince Jun 30, 2008 Accepting new patients

Locations

228 W Wayne Ave
Wayne, PA 19087
Phone (215) 688-2860

239B Conestoga Rd
Wayne, PA 19087
Phone (610) 688-2860

239 Conestoga Rd
#B
Wayne, PA 19087

Organizations & group practices 1

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1558362160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W WAYNE AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873922",
            "telephone_number": "610-688-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W WAYNE AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873922",
            "telephone_number": "610-688-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "SCOTT",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2008-06-06",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002806L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NU",
            "identifier": "131925",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.