Individual provider Active NPI

Nicholas Hess, PT, DPT, CSCS, MS

  • Orthopedic Physical Therapist
  • Oakwood, OH
National Provider Identifier
1114447901
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT016910 Issued in OH
Practice address
105 Sugar Camp Cir Ste 110
Oakwood, OH 45409-1979
Phone
(937) 227-3174
Fax
(937) 227-3174
NPI assigned
Jun 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT016910 OH Primary

Addresses

Primary practice location

105 Sugar Camp Cir Ste 110
Oakwood, OH 45409-1979

Mailing address

105 Sugar Camp Cir Ste 110
Oakwood, OH 45409-1979
Phone (937) 227-3174

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180117002960 OH Practitioner - Physical Therapist in Private Practice 6800155987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orion Sports Medicine LLCGroup PAC ID 2668724790, 3 clinicians

Practice addresses (Care Compare)

2042 Byers Rd
Miamisburg, OH 45342-1167
Phone (937) 247-5451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Orion Sports Medicine LLC Single Specialty CurrentSince May 1, 2021 Accepting new patients

Locations

2042 Byers Rd
Miamisburg, OH 45342
Phone (937) 227-3174

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1114447901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SUGAR CAMP CIR STE 110",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454091979",
            "telephone_number": "937-227-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SUGAR CAMP CIR STE 110",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454091979",
            "telephone_number": "937-227-3174",
            "fax_number": "937-227-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "NICHOLAS",
        "credential": "PT, DPT, CSCS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT016910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.

Verify at the official NPI Registry.