Individual provider Active NPI

Rebecca Lynn Syersak-Murcko, PT

  • Physical Therapist
  • Hermitage, PA
National Provider Identifier
1841270808
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009580L Issued in PA
Practice address
1599 North Hermitage Rd
Hermitage, PA 16148
Phone
(724) 962-7920
Fax
(724) 962-6029
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009580L PA Primary
Physical Therapist 225100000X PT06468 OH

Addresses

Primary practice location

1599 North Hermitage Rd
Hermitage, PA 16148

Mailing address

5949 Mount Everett Road
Hubbard, OH 44425
Phone (330) 568-1328

Other identifiers 10

IdentifierTypeStateIssuer
1983093OtherPAHIGHMARK GROUP
220033OtherPAHEALTH AMERICA/HEALTH ASSURANCE
417713OtherPAHIGHMARK
579COtherPAUPMC
0019349330002MedicaidPA
025221OtherPAMEDICARE GROUP
724159OtherPAHEALTH AMERICA/HEALTH ASSURANCE
104392OtherPAUPMC
118111OtherPAMEDICARE GROUP
548783OtherPAHIGHMARK GROUP

Other names 1

  • Miss Rebecca Lynn Markworth Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071119000151 PA Practitioner - Physical Therapist in Private Practice 7315035763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn Ohio Rehabilitation, PCGroup PAC ID 5799879482, 13 clinicians

Practice addresses (Care Compare)

1599 N Hermitage Rd
Hermitage, PA 16148-3180

1599 N Hermitage Rd
Ste. B
Hermitage, PA 16148-4405
Phone (724) 962-7920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT06468OHMDPhysical Therapist
PT009580LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Ohio Rehabilitation, PC Physical Therapist CurrentSince Oct 1, 2007 Accepting new patients
Penn Ohio Rehabilitation, PC Physical Therapist Current Accepting new patients
Richard L Holzworth Physical Therapist Past Accepting new patients

Locations

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

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

565 W Neshannock Ave
New Wilmngtn, PA 16142
Phone (724) 946-3313

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1841270808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 MOUNT EVERETT ROAD",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "44425",
            "telephone_number": "330-568-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 NORTH HERMITAGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "16148",
            "telephone_number": "724-962-7920",
            "fax_number": "724-962-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYERSAK-MURCKO",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009580L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT06468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP",
            "identifier": "1983093",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASSURANCE",
            "identifier": "220033",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "417713",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "579C",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019349330002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "025221",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASSURANCE",
            "identifier": "724159",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "104392",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "118111",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP",
            "identifier": "548783",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MARKWORTH",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 19, 2008; 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.