Jodi Arnold, PT
Individual provider Active NPI Physical Therapist · Bryan, OH
NPI 1164535696 · NPPES record last updated Dec 7, 2022
Key facts
- NPI
- 1164535696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-8683 (OH)
- Practice address
- 442 W High St Ste 3
Bryan, OH 43506-1681 - Phone
- (419) 636-4517
- Fax
- (419) 636-6438
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Community Health Associates, Inc.
Practice addresses (Care Compare)
442 W High St
Bryan, OH 43506-1681
Phone (260) 266-8210
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.74 of 100
- Quality
- 87.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.58
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060928000314 | OH | Practitioner - Physical Therapist in Private Practice | 1355346271 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-8683 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-8683 | OH | Yes |
Addresses
Primary practice location
442 W High St Ste 3
Bryan, OH 43506-1681
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2693143 | Medicaid | OH | |
| P00349239 | Other | OH | RAILROAD |
Other providers in Bryan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.