Active NPI
Cosm Rehab
- Physical Therapist
- Indiana, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007180L
- 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, 2009
- Organization subpart
- Yes
- Parent organization
- CENTER FOR ORTHOPEDICS AND SPORTS MEDICINE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis A Schultz, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007180L | PA | Primary |
| Physical Therapist | 225100000X | PT017316 | PA | |
| Physical Therapist | 225100000X | PT016557 | PA | |
| Physical Therapist | 225100000X | PT015947 | PA | |
| Hand Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI1160 | Other | PA | TRAVELERS MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Indiana, PA
- NPI 1124088372
O20050308001019
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.
-
- Physical Therapist
- Indiana, PA
- NPI 1720049778
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Indiana, PA
- NPI 1235199910
-
- Surgical Physician Assistant
- Johnstown, PA
- NPI 1518947720
-
- Physical Therapist
- Punxsutawney, PA
- NPI 1972011542
-
- Physician Assistant
- Indiana, PA
- NPI 1265322200
-
- Physician Assistant
- Indiana, PA
- NPI 1184684623
-
- Physical Therapist
- Punxsutawney, PA
- NPI 1902943475
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Punxsutawney, PA
- NPI 1871553552
-
- Physician Assistant
- Indiana, PA
- NPI 1730662156
-
- Physician Assistant
- Indiana, PA
- NPI 1871553560
-
- Orthopaedic Surgery Physician
- Indiana, PA
- NPI 1841794260
-
- Physical Therapist
- Punxsutawney, PA
- NPI 1144372772
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.