Active NPI
Nathaniel Robert Hinderer, PT, DPT, ATC, LAT
- Physical Therapist
- Youngstown, OH
National Provider Identifier
1093354136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019199
- Practice address
- 1 University PLZ
Youngstown, OH 44555-0002 - Phone
- (330) 941-3190
- NPI assigned
- Jan 6, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT006097 | OH | |
| Physical Therapist | 225100000X | PT019199 | OH | Primary |
Addresses
Primary practice location
1 University PLZ
Youngstown, OH 44555-0002
Mailing address
2205 Mount Pleasant St NW
North Canton, OH 44720-4923
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1093354136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 MOUNT PLEASANT ST NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447204923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY PLZ",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445550002",
"telephone_number": "330-941-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINDERER",
"first_name": "NATHANIEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-06",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT006097",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT019199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.