Tyson Eric Rose, MPT, SCS, LAT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016099 Issued in PA

Practice address

30 Hope Drive, Sutie1500, Department of Therapy Service
Mail Code Ec130, Penn State Health Milton S. Hershey Me
Hershey, PA 17033

Phone

(717) 531-8070

Fax

(717) 531-4558

NPI assigned

Nov 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Milton S Hershey Medical Center Physicians Group

  • Orthopaedic Surgery Physician
  • Hershey, PA
  • NPI 1710951744
  Medicare reassignment
• The Milton S Hershey Medical Center Physicians Group

  • Physical Therapist
  • Hershey, PA
  • NPI 1912967134
  NPD (past)
• The Milton S. Hershey Medical Center

  • Community/Retail Pharmacy
  • Hershey, PA
  • NPI 1902283799
  NPD (past)
• The Milton S. Hershey Medical Center Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Hershey, PA
  • NPI 1255482089
  NPD (past)

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1881849909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HOPE DRIVE, SUTIE1500, DEPARTMENT OF THERAPY SERVICE",
            "address_2": "MAIL CODE EC130, PENN STATE HEALTH MILTON S. HERSHEY ME",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "17033",
            "telephone_number": "717-531-8070",
            "fax_number": "717-531-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOPE DRIVE, SUTIE1500, DEPARTMENT OF THERAPY SERVICE",
            "address_2": "MAIL CODE EC130, PENN STATE HEALTH MILTON S. HERSHEY ME",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "17033",
            "telephone_number": "717-531-8070",
            "fax_number": "717-531-4558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N College Ave Rm 117",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170031404",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "TYSON",
        "middle_name": "ERIC",
        "credential": "MPT, SCS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "PT-11753",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "AT-1530",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003279",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lauren Roller, MD
• Timothy R Romanauski, CRNA
• Diane P Romanowsky, P.A.-C
• Michelle Stephanie Rosario, M.D.
• Mary E Rose
• Lisa Marie Rosenberg, DO
• Isaak Ross, COTA/L
• Jody M Ross, MD
• Kelli Michelle Ross, D.C.
• Leah Elizabeth Ross, MD

• Physical Therapist in Hershey, PA
• Providers in Hershey, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.