Organization Active NPI

Cosm Rehab

  • Physical Therapist
  • Indiana, PA
National Provider Identifier
1821050311
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007180L Issued in PA
Legal business name
COSM REHAB
Practice address
1265 Wayne Ave
119 Professional Center
Indiana, PA 15701-3501
Phone
(724) 465-2676
Fax
(724) 349-1830
NPI assigned
Apr 3, 2006
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER FOR ORTHOPEDICS AND SPORTS MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Dennis A Schultz, PTNPI 1720049778
Title
Director of Physical Therapy
Phone
(724) 465-2676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT007180L PA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT017316 PA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT016557 PA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT015947 PA
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X OC003583L PA

Addresses

Primary practice location

1265 Wayne Ave
119 Professional Center
Indiana, PA 15701-3501

Mailing address

1265 Wayne Ave
119 Professional Center Suite 307
Indiana, PA 15701-3501
Phone (724) 465-2676

Other identifiers 1

IdentifierTypeStateIssuer
CI1160OtherPATRAVELERS MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050308001019 PA Part B Supplier - Clinic/Group Practice 5890749329 Receives reassigned benefits from 22 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Indiana, PA; Blairsville, PA; Punxsutawney, PA; Johnstown, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Center for Ortho and Sports

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

22868 Route 68
Ste 21
Clarion, PA 16214
Phone (814) 226-6573

1265 Wayne Ave
#S307119
Indiana, PA 15701
Phone (724) 465-2676

120 Irmc Dr
Ste 160
Indiana, PA 15701
Phone (724) 357-7068

1265 Wayne Ave
Ste 307
Indiana, PA 15701
Phone (330) 758-8223

720 W Mahoning St
Punxsutawney, PA 15767
Phone (814) 938-0740

580 S Aiken Ave
Ste 320
Shadyside, PA 15232
Phone (412) 621-1409

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1821050311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "address_2": "119 PROFESSIONAL CENTER SUITE 307",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-465-2676",
            "fax_number": "724-349-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "address_2": "119 PROFESSIONAL CENTER",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-465-2676",
            "fax_number": "724-349-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSM REHAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR ORTHOPEDICS AND SPORTS MEDICINE",
        "enumeration_date": "2006-04-03",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "724-465-2676",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007180L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017316",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016557",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015947",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC003583L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CI1160",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.

Verify at the official NPI Registry.