Active NPI
Kassondra Mae Verhoff, ATC, AT
- Other Specialist/Technologist
- Toledo, OH
National Provider Identifier
1013462357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- AT.005074
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AT.005074 | OH | MD | Other 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.