Active NPI
Debra L. Seman, PT
- Physical Medicine & Rehabilitation Physician
- Kettering, OH
National Provider Identifier
1104883065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT-07567
- Practice address
- 540 Lincoln Park Blvd
Suite 350
Kettering, OH 45429-6401 - Phone
- (937) 312-8100
- Fax
- (937) 312-8101
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- 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 Medicine & Rehabilitation Physician | 208100000X | PT-07567 | OH | Primary |
Addresses
Primary practice location
540 Lincoln Park Blvd
Suite 350
Kettering, OH 45429-6401
Mailing address
4700 Smith Rd
Suite a
Cincinnati, OH 45212-2787
Phone (513) 619-6885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2511376 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
965 High St
Worthington, OH 43085-4057
Phone (614) 327-2362
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-07567 | OH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpatient at Home LLC | Current | Accepting new patients | |
| Columbus Physical Therapy, LLC | Past | Accepting new patients | |
| Premier Integrated Medical Associates, LTD | Past | Accepting new patients |
Locations
965 High St
Worthington, OH 43085
Phone (614) 327-2362
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Worthington, OH
- NPI 1629671003
-
- Physical Therapist
- Dublin, OH
- NPI 1760827232
-
- Cardiovascular Disease Physician
- Kettering, OH
- NPI 1043277437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1104883065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 SMITH RD",
"address_2": "SUITE A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122787",
"telephone_number": "513-619-6885",
"fax_number": "513-533-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 LINCOLN PARK BLVD",
"address_2": "SUITE 350",
"city": "KETTERING",
"state": "OH",
"postal_code": "454296401",
"telephone_number": "937-312-8100",
"fax_number": "937-312-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMAN",
"first_name": "DEBRA",
"middle_name": "L.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "PT-07567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2511376",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.