Active NPI
Gaige Logan Rassman
- Physical Therapist
- Union, OH
National Provider Identifier
1154901239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020819
- Practice address
- 102 Venetian Way
Union, OH 45377-8725 - Phone
- (419) 296-6388
- NPI assigned
- Apr 12, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P20678 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Therapist | 225100000X | PT020819 | OH | Primary |
Addresses
Primary practice location
102 Venetian Way
Union, OH 45377-8725
Mailing address
102 Venetian Way
Union, OH 45377-8725
Phone (419) 296-6388
Other practice location 1
115 Oakdale Dr Unit 8
Hillsborough, NC 27278-9080
Phone (919) 732-6600
Other practice location 2
102 Mason Farm Rd Fl 2
Chapel Hill, NC 27514-4617
Phone (984) 215-5130
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 |
|---|---|---|---|
| PT020819 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina Hospitals at Chapel Hill | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Chapel Hill, NC
- NPI 1245633387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733011200000",
"number": "1154901239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 VENETIAN WAY",
"city": "UNION",
"state": "OH",
"postal_code": "453778725",
"telephone_number": "419-296-6388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 VENETIAN WAY",
"city": "UNION",
"state": "OH",
"postal_code": "453778725",
"telephone_number": "419-296-6388"
}
],
"practiceLocations": [
{
"address_1": "115 Oakdale Dr Unit 8",
"address_purpose": "LOCATION",
"city": "Hillsborough",
"state": "NC",
"postal_code": "272789080",
"country_code": "US",
"telephone_number": "919-732-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Mason Farm Rd Fl 2",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144617",
"country_code": "US",
"telephone_number": "984-215-5130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASSMAN",
"first_name": "GAIGE",
"middle_name": "LOGAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-12",
"last_updated": "2024-12-01",
"certification_date": "2024-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P20678",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.