Active NPI
John Mihay, PT,DPT
- Physical Therapist
- South Bend, IN
National Provider Identifier
1063748630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 99039516A
- Practice address
- 53880 Carmichael Dr
South Bend, IN 46635-1567 - Phone
- (574) 247-9441
- NPI assigned
- Nov 2, 2009
- Last updated
- Apr 11, 2011
- Sex
- Male
- 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 | 99039516A | IN | Primary |
Addresses
Primary practice location
53880 Carmichael Dr
South Bend, IN 46635-1567
Mailing address
53880 Carmichael Dr
South Bend, IN 46635-1567
Phone (574) 247-9441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200996010 | Medicaid | IN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99039516A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1063748630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53880 CARMICHAEL DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351567",
"telephone_number": "574-247-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53880 CARMICHAEL DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351567",
"telephone_number": "574-247-9441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIHAY",
"first_name": "JOHN",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-02",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "99039516A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200996010",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
- Midwest Eye Consultants P.C. (Midwest Eye Consultants #38)
- Midwest Eye Consultants, PC (Midwest Eye Consultants #42)
- Midwest Institute of Training and Development (Kay Grask Counseling and Consulting)
- Midwives Care
- Michelle Ann Migliore, DO
- Alejandro Mikelonis, PA-C
- Stephanie Mikelonis, PA-C
- Barbara Lynn Miller
- Brandy Miller, MA
- Brianna Justine Miller, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.