Active NPI
Rodney Gene Probst, P.T.
- Physical Therapist
- Erie, PA
National Provider Identifier
1710223383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019453
- Practice address
- 3010 W Lake Rd
Erie, PA 16505-3849 - Phone
- (814) 833-2385
- Fax
- (814) 833-5522
- NPI assigned
- Dec 29, 2012
- Last updated
- Dec 29, 2012
- 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 | PT019453 | PA | Primary |
Addresses
Primary practice location
3010 W Lake Rd
Erie, PA 16505-3849
Mailing address
3010 W Lake Rd
Erie, PA 16505-3849
Phone (814) 833-2385
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019453 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356739200000",
"number": "1710223383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 W LAKE RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165053849",
"telephone_number": "814-833-2385",
"fax_number": "814-833-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 W LAKE RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165053849",
"telephone_number": "814-833-2385",
"fax_number": "814-833-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROBST",
"first_name": "RODNEY",
"middle_name": "GENE",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-29",
"last_updated": "2012-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
- Prism Identity and Intimacy LLC
- Private Healthcare Facilities
- Gabriela Victoria Proano, MS,RD
- Karen Lynn Probst, OT
- Meghan M Probst, LSW
- MD Tajul Islam Prodhan, MD
- Professional Nutrition Consulting, LLC
- Professional Vascular Reading, P.C.
- Progressive Psychiatry, PC (Richard H. Spector, M.D.)
- April Proper, L.P.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.