Active NPI
Prasad Pothini, PT
- Physical Therapist
- Powell, OH
National Provider Identifier
1174719165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 009531
- Practice address
- 480 W Olentangy St
Powell, OH 43065-7211 - Phone
- (614) 789-5752
- Fax
- (614) 789-5749
- NPI assigned
- Sep 24, 2007
- Last updated
- Sep 24, 2007
- 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 | PT 009531 | OH | Primary |
Addresses
Primary practice location
480 W Olentangy St
Powell, OH 43065-7211
Mailing address
3425 Executive Pkwy
Suite 128
Toledo, OH 43606-1326
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 |
|---|---|---|---|
| PT 009531 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sofia Wiltens LPT | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Versatile Physical Therapy and Fitness Center
- Physical Therapy Clinic/Center
- Austin, TX
- NPI 1235352436
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1174719165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 EXECUTIVE PKWY",
"address_2": "SUITE 128",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 W OLENTANGY ST",
"city": "POWELL",
"state": "OH",
"postal_code": "430657211",
"telephone_number": "614-789-5752",
"fax_number": "614-789-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTHINI",
"first_name": "PRASAD",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-24",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 009531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.