Organization Active NPI

Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Saint Marys, OH
National Provider Identifier
1235242264
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIOTHERAPY ASSOCIATES INC
Practice address
1178 Indiana Ave
Suite 102
Saint Marys, OH 45885-1307
Phone
(419) 394-9779
Fax
(419) 394-9778
NPI assigned
Aug 16, 2006
Last updated
Sep 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Janet Beck
Title
Compliance
Phone
(901) 685-7227

Specialties & licenses 1

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

Addresses

Primary practice location

1178 Indiana Ave
Suite 102
Saint Marys, OH 45885-1307

Mailing address

1178 Indiana Ave
Suite 102
Saint Marys, OH 45885-1307
Phone (419) 394-9779

Other identifiers 1

IdentifierTypeStateIssuer
0108341MedicaidOH

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1178 Indiana Ave
Ste 102
Saint Marys, OH 45885
Phone (419) 394-9779

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1235242264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 INDIANA AVE",
            "address_2": "SUITE 102",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458851307",
            "telephone_number": "419-394-9779",
            "fax_number": "419-394-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 INDIANA AVE",
            "address_2": "SUITE 102",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458851307",
            "telephone_number": "419-394-9779",
            "fax_number": "419-394-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "901-685-7227"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108341",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.