Active NPI
Raymond Anthony Aschettino, P.T.
- Physical Therapist
- Lima, OH
National Provider Identifier
1356400709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001977
- Practice address
- 3063 W Elm St
Lima, OH 45805-2514 - Phone
- (419) 999-1105
- Fax
- (419) 999-1677
- NPI assigned
- Dec 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001977 | OH | Primary |
Addresses
Primary practice location
3063 W Elm St
Lima, OH 45805-2514
Mailing address
1470 Riverview Dr
Lima, OH 45805-3918
Phone (419) 991-3151
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000189894 | Other | OH | ANTHEM INDIV.PIN-LIMA |
| 000000298666 | Other | OH | ANTHEM INDIV.PIN-SIDNEY |
| 000000028028 | Other | OH | ANTHEM INDIV PIN-PIQUA |
| 0692862 | Medicaid | OH |
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 |
|---|---|---|---|
| 1977 | OH | MD | Chiropractor |
| 001977 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1356400709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 RIVERVIEW DR",
"city": "LIMA",
"state": "OH",
"postal_code": "458053918",
"telephone_number": "419-991-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3063 W ELM ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458052514",
"telephone_number": "419-999-1105",
"fax_number": "419-999-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASCHETTINO",
"first_name": "RAYMOND",
"middle_name": "ANTHONY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "001977",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INDIV.PIN-LIMA",
"identifier": "000000189894",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INDIV.PIN-SIDNEY",
"identifier": "000000298666",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INDIV PIN-PIQUA",
"identifier": "000000028028",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0692862",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.