Individual provider Active NPI

Jesse Thomas Mehring, PT, DPT

  • Physical Therapist
  • Mount Orab, OH
National Provider Identifier
1235764358
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017570 Issued in OH
Practice address
350 Apple St
Mount Orab, OH 45154-9014
Phone
(513) 549-5403
NPI assigned
Mar 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9658 SC
Physical Therapist 225100000X 017570 OH Primary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 007928 KY

Addresses

Primary practice location

350 Apple St
Mount Orab, OH 45154-9014

Mailing address

350 Apple St
Mount Orab, OH 45154-9014

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
9658SCMDDentist
007928KYMDPhysical Therapist
017570OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Physiotherapy & Performance, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

3470 Cardiff Ave
Cincinnati, OH 45209

350 Apple St
Mount Orab, OH 45154
Phone (513) 549-5403

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1235764358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 APPLE ST",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 APPLE ST",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549014",
            "telephone_number": "513-549-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRING",
        "first_name": "JESSE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-09",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9658",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "017570",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Orab, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; 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.