Circleville Physical Therapy, Inc.
Organization Active NPI Physical Therapist · Circleville, OH
NPI 1356340558 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1356340558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT02935 (OH)
- Legal business name
- CIRCLEVILLE PHYSICAL THERAPY, INC.
- Practice address
- 1414 N Court St
Circleville, OH 43113-1005 - Phone
- (740) 474-9318
- Fax
- (740) 474-9326
- NPI assigned
- Jul 19, 2005
- Organization subpart
- No
Authorized official
- Name
- Ann M Freeman, P.T.
- Title
- Owner/Physical Therapist
- Phone
- (740) 474-9318
Practitioners 11
-
Ann M Freeman, PT
-
Brian S Pierce, PT
-
Jada R Truex, PT
-
Carly King, PTA
-
Mary Jo Foglesong, MSPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061005000070 | OH | Part B Supplier - Clinic/Group Practice | 2567468127 |
Receives reassigned benefits from 4 practitioners Practice locations: Circleville, OH |
National Provider Directory
Locations
1414 N Court St
Circleville, OH 43113
Phone (740) 474-9318
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | PT02935 | OH | Yes |
Addresses
Primary practice location
1414 N Court St
Circleville, OH 43113-1005
Mailing address
1414 N Court St
Circleville, OH 43113-1005
Phone (740) 474-9318
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0743431 | Medicaid | OH | |
| 000000161578 | Other | OH | ANTHEM |
Other providers in Circleville, OH
- Circleville Community Counseling, LLC
- Circleville Dental Partner
- Circleville Emergency Physicians Inc.
- Circleville Foot & Ankle LLC
- Circleville Long Term Care, Inc
- Circleville Post Acute, LLC
- City Auditor
- Kyndle Renee Clark
- Kaydee Sue Clever
- Jeanie Marie Clifton
All providers in Circleville, OH · Physical Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.