Active NPI
Timothy Rodak, DPT
- Physical Therapist
- Bedford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT028237
- Practice address
- 9613 Lincoln Hwy Ste 107
Bedford, PA 15522-3748 - Phone
- (814) 623-1042
- NPI assigned
- Nov 30, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT028237 | PA | Primary |
Addresses
Primary practice location
9613 Lincoln Hwy Ste 107
Bedford, PA 15522-3748
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9613 Lincoln Hwy 107
Bedford, PA 15522-3748
Phone (814) 623-1042
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT028237 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
9613 Lincoln Hwy
Ste 107
Bedford, PA 15522
Phone (814) 623-1042
80 Landings Dr
Ste 102
Washington, PA 15301
Phone (724) 382-7327
100 Bradford Rd
Ste 210
Wexford, PA 15090
Phone (724) 940-2323
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 and National Provider Directory roles.
-
- Physical Therapist
- Hummelstown, PA
- NPI 1538122700
-
- Physical Therapist
- Red Lion, PA
- NPI 1013308089
-
- Physical Therapist
- York, PA
- NPI 1053348409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575072000000",
"number": "1922645720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9613 LINCOLN HWY STE 107",
"city": "BEDFORD",
"state": "PA",
"postal_code": "155223748",
"telephone_number": "814-623-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODAK",
"first_name": "TIMOTHY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-30",
"last_updated": "2019-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT028237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2019; 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.