Active NPI
Wayne Physiatry LLC
- Physical Medicine & Rehabilitation Physician
- Honesdale, PA
National Provider Identifier
1609302140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD047523L
- Legal business name
- WAYNE PHYSIATRY LLC
- Practice address
- 601 Park St
Honesdale, PA 18431-1445 - Phone
- (570) 253-1005
- Fax
- (570) 253-7868
- NPI assigned
- May 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott K. Epstein
- Title
- Principal
- Phone
- (570) 253-1005
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | MD047523L | PA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD047523L | PA | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | MD047523L | PA |
Addresses
Primary practice location
601 Park St
Honesdale, PA 18431-1445
Mailing address
1143 Northern Blvd, #122
Clarks Summit, PA 18411
Phone (570) 253-1005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170601000550 | PA | Part B Supplier - Clinic/Group Practice | 2264709971 | Practice locations: S Abingtn TWP, PA |
National Provider Directory
National Provider DirectoryLocations
600 Maple Ave
Ste 3
Honesdale, PA 18431
Phone (570) 253-1005
Interoperability endpoints
- https://api.platform.athenahealth.com/16017/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Scranton, PA
- NPI 1689625352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766880000000",
"number": "1609302140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1143 NORTHERN BLVD, #122",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "18411",
"telephone_number": "570-253-1005",
"fax_number": "570-253-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 PARK ST",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184311445",
"telephone_number": "570-253-1005",
"fax_number": "570-253-7868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE PHYSIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-03",
"last_updated": "2025-12-28",
"certification_date": "2025-12-28",
"status": "A",
"authorized_official_last_name": "EPSTEIN",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "570-253-1005"
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Electrodiagnostic Medicine",
"state": "PA",
"license": "MD047523L",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD047523L",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "PA",
"license": "MD047523L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honesdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2025; 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.