NPIMap

Organization Active NPI

Archbold Physical Therapy Services, Inc.

  • Physical Therapy Clinic/Center
  • Archbold, OH
National Provider Identifier
1215948302
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ARCHBOLD PHYSICAL THERAPY SERVICES, INC.
Practice address
815 East Lutz Road
Archbold, OH 43502
Phone
(419) 446-9144
Fax
(419) 466-9146
NPI assigned
Aug 11, 2006
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Pamela J Riedeman, PT MANPI 1164545851
Title
Physical Therapist President
Phone
(419) 446-9144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

815 East Lutz Road
Archbold, OH 43502

Mailing address

815 East Lutz Road
Archbold, OH 43502
Phone (419) 446-9144

Other identifiers 1

IdentifierTypeStateIssuer
0123397MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1215948302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 EAST LUTZ ROAD",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "43502",
            "telephone_number": "419-446-9144",
            "fax_number": "419-466-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 EAST LUTZ ROAD",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "43502",
            "telephone_number": "419-446-9144",
            "fax_number": "419-466-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHBOLD PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "RIEDEMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST PRESIDENT",
        "authorized_official_telephone_number": "419-446-9144",
        "authorized_official_credential": "PT MA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123397",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Archbold, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.