Individual provider Active NPI

Ryan Thomas Scoran, PT DPT

  • Physical Therapist
  • Greensburg, PA
National Provider Identifier
1942860556
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027067 Issued in PA
Practice address
520 Pellis Rd Ste 1000
Greensburg, PA 15601-4778
Phone
(724) 838-1008
Fax
(724) 832-1690
NPI assigned
Jun 17, 2019
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT027067 PA Primary

Addresses

Primary practice location

520 Pellis Rd Ste 1000
Greensburg, PA 15601-4778

Mailing address

438 Pellis Rd Ste 101
Greensburg, PA 15601-7900
Phone (724) 850-7587

Other identifiers 1

IdentifierTypeStateIssuer
1019541330001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT027067PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Group Acquisition LLC Physical Therapist CurrentSince Dec 13, 2020 Accepting new patients
The Physical Therapy Institute PastSince Dec 13, 2020 Accepting new patients
Phoenix Rehabilitation and Health Services, Inc. Physical Therapist Past Accepting new patients

Locations

438 Pellis Rd
Ste 101
Greensburg, PA 15601
Phone (724) 850-7448

520 Pellis Rd
Ste 1000
Greensburg, PA 15601
Phone (724) 838-1008

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1942860556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 PELLIS RD STE 101",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017900",
            "telephone_number": "724-850-7587",
            "fax_number": "724-850-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 PELLIS RD STE 1000",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014778",
            "telephone_number": "724-838-1008",
            "fax_number": "724-832-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORAN",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019541330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.