Individual provider Active NPI

Marc McCuen, PT

  • Physical Therapist
  • Ontario, OH
National Provider Identifier
1003430380
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018604 Issued in OH
Practice address
1750 W 4TH St
Ontario, OH 44906-1770
Phone
(419) 526-8900
NPI assigned
Jun 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 PTL.0017799 CO
Physical Therapist 225100000X 018604 OH Primary

Addresses

Primary practice location

1750 W 4TH St
Ontario, OH 44906-1770

Mailing address

1750 W 4TH St
Ontario, OH 44906-1770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200612001845 OH Practitioner - Physical Therapist in Private Practice 1355763715 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0017799COMDPhysical Therapist
018604OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Jul 29, 2020 Accepting new patients
Promedica Central Physicians CurrentSince Jul 29, 2020 Accepting new patients
Licking Rehabilitation Services Inc Physical Therapist CurrentSince Jun 3, 2020 Accepting new patients
Rehabilitative Associates Inc Physical Therapist PastSince Jun 7, 2020 Accepting new patients
Licking Rehabilitation Services, Inc PastSince Jun 7, 2020 Accepting new patients

Locations

777 W State St
Ste 302
Columbus, OH 43222
Phone (614) 221-2299

11171 Lambs Ln
Newark, OH 43055

159 W Main St
Newark, OH 43055
Phone (740) 344-2984

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1003430380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 W 4TH ST",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W 4TH ST",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061770",
            "telephone_number": "419-526-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUEN",
        "first_name": "MARC",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017799",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "018604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.