NPIMap

Individual provider Active NPI

Thomas L Walsh

  • Prosthetist
  • Cincinnati, OH
National Provider Identifier
1306846209
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
LP133 Issued in OH
Practice address
5701 Cheviot Rd
Cincinnati, OH 45247-7007
Phone
(513) 245-0253
Fax
(513) 245-0258
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X LO147 OH
Prosthetist 224P00000X LP133 OH Primary

Addresses

Primary practice location

5701 Cheviot Rd
Cincinnati, OH 45247-7007

Mailing address

5701 Cheviot Rd
Cincinnati, OH 45247-7007
Phone (513) 245-0253

Other identifiers 6

IdentifierTypeStateIssuer
2067978OtherOHAETNA PROVIDER NUMBER
5348349OtherOHCIGNA PROVIDER NUMBER
90003468MedicaidKY
0101795MedicaidOH
200109890AMedicaidIN
000000000004OtherOHANTHEM PROVIDER NUMBER

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
LO147OHMDOrthotist
LP133OHMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Therapy Solutions Current Accepting new patients
Thomas L Walsh Dba Abilities in Motion Current Accepting new patients
Abilities in Motion LLC Orthotist Past Accepting new patients

Locations

5701 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 245-0253

Organizations & group practices 3

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1306846209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 CHEVIOT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477007",
            "telephone_number": "513-245-0253",
            "fax_number": "513-245-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 CHEVIOT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477007",
            "telephone_number": "513-245-0253",
            "fax_number": "513-245-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "THOMAS",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "OH",
            "license": "LO147",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "OH",
            "license": "LP133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "2067978",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "5348349",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003468",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101795",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200109890A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000000004",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.