Individual provider Active NPI

Michael Ray Ludewig, DPT

  • Physical Therapist
  • Toronto, OH
National Provider Identifier
1003696659
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016160 Issued in OH
Practice address
1828 Franklin St
Toronto, OH 43964-1949
Phone
(304) 723-3780
NPI assigned
Oct 2, 2023
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 CP026348T WV
Physical Therapist 225100000X PT016160 OH Primary

Addresses

Primary practice location

1828 Franklin St
Toronto, OH 43964-1949

Mailing address

414 Penco Rd
Weirton, WV 26062-3822
Phone (304) 723-3780

Other practice location 1

414 Penco Rd
Weirton, WV 26062-3822
Phone (304) 723-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240116000256 WV Practitioner - Physical Therapist in Private Practice 2466804455 Reassigns benefits to 1 organization
I20240507004299 OH Practitioner - Physical Therapist in Private Practice 2466804455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Physical Therapy Limited PartnershipGroup PAC ID 9830574391, shared by 2 NPIs, 9 clinicians

Practice addresses (Care Compare)

1425 Main St
Follansbee, WV 26037-1217
Phone (304) 527-4472

1828 Franklin St
Toronto, OH 43964-1949
Phone (740) 337-1366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016160OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy Limited Partnership CurrentSince Dec 11, 2023 Accepting new patients
Summit Physical Therapy Limited Partnership Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Summit Physical Therapy Limited Partnership Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
Summit Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Locations

1828 Franklin St
Toronto, OH 43964
Phone (740) 337-1366

1425 Main St
Follansbee, WV 26037
Phone (304) 527-4472

414 Penco Rd
Weirton, WV 26062
Phone (304) 723-3780

Organizations & group practices 4

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": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1003696659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PENCO RD",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623822",
            "telephone_number": "304-723-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 FRANKLIN ST",
            "city": "TORONTO",
            "state": "OH",
            "postal_code": "439641949",
            "telephone_number": "304-723-3780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Penco Rd",
            "address_purpose": "LOCATION",
            "city": "Weirton",
            "state": "WV",
            "postal_code": "260623822",
            "country_code": "US",
            "telephone_number": "304-723-3780",
            "fax_number": "304-723-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDEWIG",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "CP026348T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toronto, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.

Verify at the official NPI Registry.