Obsidian Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OBSIDIAN PHYSICAL THERAPY LLC

Practice address

267 W National Rd
Vandalia, OH 45377

Phone

(937) 400-1155

NPI assigned

Jun 9, 2025

Last updated

Jun 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nina Bendixen, PT, DPTNPI 1699465567

Title

Doctor of Physical Therapy

Phone

(317) 385-6332

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nina Danielle Bendixen, PT, DPT

  • Physical Therapist
  • Vandalia, OH
  • NPI 1699465567
  NPD Authorized official

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1063307320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 BELLEFONTAINE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454244135",
            "telephone_number": "317-385-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 W NATIONAL RD",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "45377",
            "telephone_number": "937-400-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSIDIAN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-05-24",
        "status": "A",
        "authorized_official_last_name": "BENDIXEN",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "317-385-6332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Noah Alexander Ogle, PT
• Ohio Pediatrics, Inc.

• Physical Therapist in Vandalia, OH
• Providers in Vandalia, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.