Individual provider Active NPI

Raymond Anthony Aschettino, P.T.

  • Physical Therapist
  • Lima, OH
National Provider Identifier
1356400709
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001977 Issued in OH
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

Updated by the provider on Jul 9, 2007

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 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

IdentifierTypeStateIssuer
000000189894OtherOHANTHEM INDIV.PIN-LIMA
000000298666OtherOHANTHEM INDIV.PIN-SIDNEY
000000028028OtherOHANTHEM INDIV PIN-PIQUA
0692862MedicaidOH

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

LicenseStateTypeSpecialty
1977OHMDChiropractor
001977OHMDPhysical 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.

Verify at the official NPI Registry.