Individual provider Active NPI

Raelyn Hope Todd, PTA

  • Physical Therapy Assistant
  • Mount Vernon, OH
National Provider Identifier
1235014895
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA014038 Issued in OH
Practice address
781 Fairgrounds Rd Ste A781
Mount Vernon, OH 43050-1165
Phone
(740) 263-7997
Fax
(740) 263-0542
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA014038 OH Primary

Addresses

Primary practice location

781 Fairgrounds Rd Ste A781
Mount Vernon, OH 43050-1165

Mailing address

781 Fairgrounds Rd Ste a
Mount Vernon, OH 43050-1165
Phone (740) 263-7997

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA014038OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sportpro LLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

781 Fairgrounds Rd
Ste A
Mount Vernon, OH 43050
Phone (740) 263-7997

781 Fairgrounds Rd
Ste A781
Mount Vernon, OH 43050
Phone (740) 263-7997

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.

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1235014895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 FAIRGROUNDS RD STE A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501165",
            "telephone_number": "740-263-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 FAIRGROUNDS RD STE A781",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501165",
            "telephone_number": "740-263-7997",
            "fax_number": "740-263-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "RAELYN",
        "middle_name": "HOPE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA014038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.