Active NPI
Timothy J Ogle
- Orthopedic Physical Therapist
- Dayton, OH
National Provider Identifier
1336330893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT-9535
- Practice address
- 1435 Cincinnati St
Suite 100
Dayton, OH 45417-4670 - Phone
- (937) 449-0800
- NPI assigned
- Aug 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | AT-865 | OH | |
| Orthopedic Physical Therapist | 2251X0800X | PT-9535 | OH | Primary |
Addresses
Primary practice location
1435 Cincinnati St
Suite 100
Dayton, OH 45417-4670
Mailing address
1114 E Main St
Troy, OH 45373-3449
Phone (937) 232-5359
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-865 | OH | MD | Sports Physical Therapist |
| PT-9535 | OH | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mercy Health Partners | Past | Accepting new patients |
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.
-
- Clinical Medical Laboratory
- Springfield, OH
- NPI 1477217297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293062400000",
"number": "1336330893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 E MAIN ST",
"city": "TROY",
"state": "OH",
"postal_code": "453733449",
"telephone_number": "937-232-5359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 CINCINNATI ST",
"address_2": "SUITE 100",
"city": "DAYTON",
"state": "OH",
"postal_code": "454174670",
"telephone_number": "937-449-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGLE",
"first_name": "TIMOTHY",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2010-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "OH",
"license": "AT-865",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OH",
"license": "PT-9535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.