Active NPI
Matthew Scott Pascuzzi, PTA
- Physical Therapy Assistant
- Bradford, PA
National Provider Identifier
1770869158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TEI003780
- Practice address
- 50 Langmaid LN
Bradford, PA 16701-3930 - Phone
- (814) 362-6090
- Fax
- (814) 362-2841
- NPI assigned
- Oct 29, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE008948 | PA | |
| Physical Therapy Assistant | 225200000X | TEI003780 | PA | Primary |
Addresses
Primary practice location
50 Langmaid LN
Bradford, PA 16701-3930
Mailing address
1100 Shawnee Road
Lima, OH 45805
Phone (419) 999-2030
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 |
|---|---|---|---|
| TE008948 | PA | MD | Physical Therapy Assistant |
| TEI003780 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1770869158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SHAWNEE ROAD",
"city": "LIMA",
"state": "OH",
"postal_code": "45805",
"telephone_number": "419-999-2030",
"fax_number": "419-991-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LANGMAID LN",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167013930",
"telephone_number": "814-362-6090",
"fax_number": "814-362-2841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCUZZI",
"first_name": "MATTHEW",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-29",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE008948",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TEI003780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.