Springfield Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SPRINGFIELD PHYSICAL THERAPY INC

Practice address

2221 Grube St
Springfield, OH 45503-2642

Phone

(937) 399-8941

Fax

(937) 399-5639

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jordan A Houseman, PT,DPT,OTR/L,MOTNPI 1780084012

Title

President

Phone

(937) 399-8941

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan A Houseman, DPT

  • Physical Therapist
  • Springfield, OH
  • NPI 1780084012
  Medicare reassignment Authorized official
• Eletta Fleming, OTRL

  • Occupational Therapist
  • Cincinnati, OH
  • NPI 1508070921
  Medicare reassignment NPD
• Kacee Hampshire

  • Occupational Therapist
  • Port Orange, FL
  • NPI 1922391242
  NPD

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1134328347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 GRUBE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032642",
            "telephone_number": "937-399-8941",
            "fax_number": "937-399-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 GRUBE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032642",
            "telephone_number": "937-399-8941",
            "fax_number": "937-399-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "HOUSEMAN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-399-8941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT,OTR/L,MOT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054005",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Springfield Masonic Community
• Springfield Metropolitan Housing Authority
• Springfield Opco, LLC
• Springfield Orthopaedic and Sports Medicine Institute LLC
• Springfield Pediatric Dentistry
• Springfield Preparatory & Fitness Academy
• Springfield Primary Healthcare Services, LLC
• Springfield Psychiatric Associates Inc
• Springfield Pulmonary Inc
• Springfield Regional Anesthesia, Inc

• Physical Therapy Clinic/Center in Springfield, OH
• Providers in Springfield, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.