Individual provider Active NPI

Kassidy Adkins, P.T.

  • Physical Therapist
  • Heath, OH
National Provider Identifier
1093496333
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020416 Issued in OH
Practice address
1220 Hebron Rd
Heath, OH 43056-1040
Phone
(740) 763-0408
Fax
(740) 763-0475
NPI assigned
Jul 28, 2023
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020416 OH Primary

Addresses

Primary practice location

1220 Hebron Rd
Heath, OH 43056-1040

Mailing address

1220 Hebron Rd
Heath, OH 43056-1040
Phone (740) 763-0408

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

LicenseStateTypeSpecialty
PT020416OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Rehabilitation Services, Inc CurrentSince Mar 24, 2024 Accepting new patients
Licking Rehabilitation Services Inc Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients

Locations

1220 Hebron Rd
Heath, OH 43056
Phone (740) 763-0408

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1093496333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HEBRON RD",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561040",
            "telephone_number": "740-763-0408",
            "fax_number": "740-763-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HEBRON RD",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561040",
            "telephone_number": "740-763-0408",
            "fax_number": "740-763-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "KASSIDY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.