NPIMap

Organization Active NPI

Ortho Advantage LLC

  • Physical Therapist
  • Dayton, OH
National Provider Identifier
1104846021
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT005978 Issued in OH
Legal business name
ORTHO ADVANTAGE LLC
Practice address
8200 Washington Village Dr
Dayton, OH 45458-1850
Phone
(937) 434-4141
Fax
(937) 431-9100
NPI assigned
Jul 21, 2006
Last updated
Sep 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Jami Withrow
Title
Owner
Phone
(937) 434-4141

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT005978 OH Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

8200 Washington Village Dr
Dayton, OH 45458-1850

Mailing address

8200 Washington Village Dr
Centerville, OH 45458-1850
Phone (937) 434-4141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060811000285 OH Part B Supplier - Clinic/Group Practice 3577566579 Receives reassigned benefits from 17 practitioners
Practice locations: Dayton, OH; Eaton, OH

National Provider Directory

National Provider Directory

Locations

830 Distribution Dr
Beavercreek Township, OH 45434
Phone (937) 431-0300

6560 Centerville Business Pkwy
Dayton, OH 45459
Phone (937) 432-6565

8200 Washington Village Dr
Dayton, OH 45458
Phone (937) 434-4141

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1104846021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WASHINGTON VILLAGE DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581850",
            "telephone_number": "937-434-4141",
            "fax_number": "937-431-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WASHINGTON VILLAGE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581850",
            "telephone_number": "937-434-4141",
            "fax_number": "937-431-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "WITHROW",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-434-4141"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT005978",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.