Active NPI
Jessica Maibach, PT, DPT
- Physical Therapist
- Rittman, OH
National Provider Identifier
1316475015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016919
- Practice address
- 10680 Steiner Rd
Rittman, OH 44270-9518 - Phone
- (330) 927-1010
- NPI assigned
- May 25, 2017
- Last updated
- May 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016919 | OH | Primary |
Addresses
Primary practice location
10680 Steiner Rd
Rittman, OH 44270-9518
Mailing address
7420 Easton Rd
Sterling, OH 44276-9768
Phone (419) 786-0915
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT016919 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495670400000",
"number": "1316475015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7420 EASTON RD",
"city": "STERLING",
"state": "OH",
"postal_code": "442769768",
"telephone_number": "419-786-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10680 STEINER RD",
"city": "RITTMAN",
"state": "OH",
"postal_code": "442709518",
"telephone_number": "330-927-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIBACH",
"first_name": "JESSICA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2017-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT016919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rittman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.