Active NPI
Kevin John Powers, PT
- Physical Therapist
- Middleburg HTS, OH
National Provider Identifier
1114026978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003606
- Practice address
- 7255 Old Oak Blvd
C405
Middleburg HTS, OH 44130 - Phone
- (440) 816-5380
- Fax
- (440) 816-5398
- NPI assigned
- Sep 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT003606 | OH | Primary |
Addresses
Primary practice location
7255 Old Oak Blvd
C405
Middleburg HTS, OH 44130
Mailing address
7255 Old Oak Blvd
C405
Middleburg HTS, OH 44130
Phone (440) 816-5380
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT003606 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114026978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7255 OLD OAK BLVD",
"address_2": "C405",
"city": "MIDDLEBURG HTS",
"state": "OH",
"postal_code": "44130",
"telephone_number": "440-816-5380",
"fax_number": "440-816-5398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7255 OLD OAK BLVD",
"address_2": "C405",
"city": "MIDDLEBURG HTS",
"state": "OH",
"postal_code": "44130",
"telephone_number": "440-816-5380",
"fax_number": "440-816-5398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "KEVIN",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT003606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleburg HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.