Individual provider Active NPI

Anthony Maurice Roscoe, PT, DPT

  • Physical Therapist
  • Hermitage, PA
National Provider Identifier
1639467608
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021467 Issued in PA
Practice address
100 N Keel Ridge Rd
Hermitage, PA 16148-3440
Phone
(724) 813-0933
NPI assigned
Jul 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT021467 PA Primary

Addresses

Primary practice location

100 N Keel Ridge Rd
Hermitage, PA 16148-3440

Mailing address

28 Hogue Drive
West Middlesex, PA 16159-2512
Phone (724) 813-0933

Other practice location 1

1599 N Hermitage Rd
Hermitage, PA 16148-3180
Phone (724) 962-7920

Other practice location 2

28 Hogue Rd
West Middlesex, PA 16159-2512
Phone (724) 813-0933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000007 PA Practitioner - Physical Therapist in Private Practice 4183894447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roscoe Physiotherapy Co.Group PAC ID 1153694690, 6 clinicians

Practice addresses (Care Compare)

151 N Hermitage Rd
Hermitage, PA 16148-3345
Phone (724) 982-4266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT021467PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Ohio Rehabilitation, PC Physical Therapist Past Accepting new patients
Penn Ohio Rehabilitation, PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639467608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HOGUE DRIVE",
            "city": "WEST MIDDLESEX",
            "state": "PA",
            "postal_code": "161592512",
            "telephone_number": "724-813-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N KEEL RIDGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483440",
            "telephone_number": "724-813-0933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1599 N Hermitage Rd",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161483180",
            "country_code": "US",
            "telephone_number": "724-962-7920",
            "fax_number": "724-962-6029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Hogue Rd",
            "address_purpose": "LOCATION",
            "city": "West Middlesex",
            "state": "PA",
            "postal_code": "161592512",
            "country_code": "US",
            "telephone_number": "724-813-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSCOE",
        "first_name": "ANTHONY",
        "middle_name": "MAURICE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.