NPIMap

Organization Active NPI

Mohican Therapy Group

  • Physical Therapist
  • Marysville, OH
National Provider Identifier
1174795397
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOHICAN THERAPY GROUP
Practice address
17809 State Route 31
Mill Valley Plaza Unit 9
Marysville, OH 43040-9609
Phone
(937) 738-7818
NPI assigned
Mar 27, 2008
Last updated
Oct 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Mr. Kevin Stallard
Title
Operations Manager
Phone
(740) 392-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

17809 State Route 31
Mill Valley Plaza Unit 9
Marysville, OH 43040-9609

Mailing address

112 Harcourt Rd
Suite 1
Mount Vernon, OH 43050-3946
Phone (740) 392-8811

National Provider Directory

National Provider Directory

Locations

17809 State Route 31
Unit 9
Marysville, OH 43040
Phone (937) 738-7818

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1174795397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HARCOURT RD",
            "address_2": "SUITE 1",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503946",
            "telephone_number": "740-392-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17809 STATE ROUTE 31",
            "address_2": "MILL VALLEY PLAZA UNIT 9",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409609",
            "telephone_number": "937-738-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHICAN THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "STALLARD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "740-392-8811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.