Organization Active NPI

Impower Therapy, LLC

Doing business as Impower Therapy

  • Physical Therapist
  • Arlington, OH
National Provider Identifier
1104410463
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IMPOWER THERAPY, LLC
Doing business as
Impower Therapy
Practice address
12790 TR 25
Arlington, OH 45814-9702
Phone
(419) 957-9852
NPI assigned
Feb 25, 2021
Last updated
Feb 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Mrs. Melinda E Baker, PT, MPTNPI 1346322484
Title
Owner Operator
Phone
(419) 957-9852

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

12790 TR 25
Arlington, OH 45814-9702

Mailing address

12790 TR 25
Arlington, OH 45814-9702
Phone (419) 957-9852

Other names 1

  • Impower Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422002918 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2466860895 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1104410463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12790 TR 25",
            "city": "ARLINGTON",
            "state": "OH",
            "postal_code": "458149702",
            "telephone_number": "419-957-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12790 TR 25",
            "city": "ARLINGTON",
            "state": "OH",
            "postal_code": "458149702",
            "telephone_number": "419-957-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPOWER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "419-957-9852",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impower Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.