Individual provider Active NPI

Kassondra Mae Verhoff, ATC, AT

  • Other Specialist/Technologist
  • Toledo, OH
National Provider Identifier
1013462357
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
AT.005074 Issued in OH
Practice address
4025 Indian Rd
Toledo, OH 43606-2226
Phone
(419) 531-1693
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X AT.005074 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X AT.005074 OH

Addresses

Primary practice location

4025 Indian Rd
Toledo, OH 43606-2226

Mailing address

12012 Township Road 53
Mount Cory, OH 45868-9633
Phone (567) 208-8401

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
AT.005074OHMDOther Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1013462357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12012 TOWNSHIP ROAD 53",
            "city": "MOUNT CORY",
            "state": "OH",
            "postal_code": "458689633",
            "telephone_number": "567-208-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 INDIAN RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062226",
            "telephone_number": "419-531-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHOFF",
        "first_name": "KASSONDRA",
        "middle_name": "MAE",
        "credential": "ATC, AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "OH",
            "license": "AT.005074",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "AT.005074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.