Active NPI
Tami Huber, PT
- Physical Therapist
- Beavercreek, OH
National Provider Identifier
1023344868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012586
- Practice address
- 2655 Commons Blvd
Ste 120
Beavercreek, OH 45431-3773 - Phone
- (937) 320-9131
- Fax
- (937) 320-9132
- NPI assigned
- Oct 29, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 012586 | OH | Primary |
Addresses
Primary practice location
2655 Commons Blvd
Ste 120
Beavercreek, OH 45431-3773
Mailing address
2655 Commons Blvd
Ste 120
Beavercreek, OH 45431-3773
Phone (937) 320-9131
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108341 | Medicaid | OH | |
| 000000281943 | Other | OH | ANTHEM |
| 1952348419 | Other | OH | NPI |
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 |
|---|---|---|---|
| 012586 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1023344868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 COMMONS BLVD",
"address_2": "STE 120",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313773",
"telephone_number": "937-320-9131",
"fax_number": "937-320-9132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 COMMONS BLVD",
"address_2": "STE 120",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313773",
"telephone_number": "937-320-9131",
"fax_number": "937-320-9132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBER",
"first_name": "TAMI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "012586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0108341",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000281943",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1952348419",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.