Individual provider Active NPI

Courtney Rieman

  • Physical Therapist
  • Ottawa, OH
National Provider Identifier
1336528090
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.015307 Issued in OH
Practice address
1331 E 4TH St
Ottawa, OH 45875-1505
Phone
(419) 523-9337
Fax
(419) 523-6323
NPI assigned
May 27, 2015
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT.015307 OH Primary

Addresses

Primary practice location

1331 E 4TH St
Ottawa, OH 45875-1505

Mailing address

1331 E 4TH St
Ottawa, OH 45875-1505
Phone (419) 523-9337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605001938 OH Practitioner - Physical Therapist in Private Practice 8729309497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Services Rehabilitation IncGroup PAC ID 2567487887, 20 clinicians

Practice addresses (Care Compare)

1331 E 4TH St
Ottawa, OH 45875-1505
Phone (419) 523-9337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
P.T. Services Rehabilitation, Inc. CurrentSince Dec 3, 2023 Accepting new patients
P T Services Rehabilitation Inc Past Accepting new patients

Locations

1800 W State St
Fremont, OH 43420
Phone (419) 332-6709

1331 E 4th St
Ottawa, OH 45875
Phone (419) 523-9222

2550 S State Route 100
Tiffin, OH 44883
Phone (419) 835-4484

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1336528090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 E 4TH ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751505",
            "telephone_number": "419-523-9337",
            "fax_number": "419-523-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E 4TH ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751505",
            "telephone_number": "419-523-9337",
            "fax_number": "419-523-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEMAN",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.015307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.