NPIMap

Organization Active NPI

Physical Medicine Associates of N.W. Ohio, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Lima, OH
National Provider Identifier
1033232103
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PHYSICAL MEDICINE ASSOCIATES OF N.W. OHIO, INC.
Practice address
658 W Market St
Suite 106
Lima, OH 45801-4653
Phone
(419) 228-5434
Fax
(419) 228-4620
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Susan L Hubbell, MDNPI 1043291917
Title
President
Phone
(419) 228-5434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X OH Primary

Addresses

Primary practice location

658 W Market St
Suite 106
Lima, OH 45801-4653

Mailing address

658 W Market St
Suite 106
Lima, OH 45801-4653
Phone (419) 228-5434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927000558 OH Part B Supplier - Clinic/Group Practice 2567431612 Receives reassigned benefits from 7 practitioners
Practice locations: Lima, OH

National Provider Directory

National Provider Directory

Locations

939 W Market St
Ste 1
Lima, OH 45805
Phone (419) 228-5434

658 W Market St
Ste 106
Lima, OH 45801
Phone (419) 228-5434

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15723/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033232103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 W MARKET ST",
            "address_2": "SUITE 106",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014653",
            "telephone_number": "419-228-5434",
            "fax_number": "419-228-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 W MARKET ST",
            "address_2": "SUITE 106",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014653",
            "telephone_number": "419-228-5434",
            "fax_number": "419-228-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE ASSOCIATES OF N.W. OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUBBELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-228-5434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.