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1316921331

NPI Code Detail

MEDICARE: JUAN ROSARIO PT

MEDICARE: JUAN ROSARIO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT004071 L	PA
2	2251E1200X	Ergonomics Physical Therapist	PT004071 L	PA
3	2251G0304X	Geriatric Physical Therapist	PT004071 L	PA
4	2251H1200X	Hand Physical Therapist	PT004071 L	PA
5	2251H1300X	Human Factors Physical Therapist	PT004071 L	PA
6	2251N0400X	Neurology Physical Therapist	PT004071 L	PA
7	2251P0200X	Pediatric Physical Therapist	PT004071 L	PA
8	2251S0007X	Sports Physical Therapist	PT004071 L	PA
9	2251X0800X	Orthopedic Physical Therapist	PT004071 L	PA
10	225400000X	Rehabilitation Practitioner	PT004071 L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	819329	OTHER	PA	FIRST PRIORITY/BC/BS
3	163627	OTHER	PA	MEDPLUS
4	3302361	OTHER	PA	AETNA HMO
5	5868017	OTHER	PA	AETNA PPO
6	677615	OTHER	PA	HIGHMARK
7	9384447	OTHER	PA	PHCS

General Provider Information

NPI Number	:	1316921331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN ROSARIO PT

Provider Business Mailing Address
First Line	:	851 COMMERCE BLVD
Second Line	:	SUITE 107
City	:	DICKSON CITY
State	:	PA
Zip	:	18519-1677
Country	:	US
Telephone Number	:	570-489-5561
Fax Number	:	570-489-5563

Provider Business Practice Location Address
First Line	:	851 COMMERCE BLVD
Second Line	:	SUITE 107
City	:	DICKSON CITY
State	:	PA
Zip	:	18519-1677
Country	:	US
Telephone Number	:	570-489-5561
Fax Number	:	570-489-5563

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	09/11/2025

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Directions to “ JUAN ROSARIO PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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