Individual provider Active NPI

Margaret A Headings, P.T., D.P.T.

  • Physical Therapist
  • Bellefontaine, OH
National Provider Identifier
1376992164
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3409 Issued in OH
Practice address
711 Rush Ave
Bellefontaine, OH 43311-2250
Phone
(937) 592-1625
Fax
(937) 592-3489
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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 3409 OH Primary

Addresses

Primary practice location

711 Rush Ave
Bellefontaine, OH 43311-2250

Mailing address

711 Rush Ave
Bellefontaine, OH 43311-2250
Phone (937) 592-1625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105000505 OH Practitioner - Physical Therapist in Private Practice 0648551689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellefontaine Physical Therapy LTDGroup PAC ID 7214934017, 5 clinicians

Practice addresses (Care Compare)

711 Rush Ave
Bellefontaine, OH 43311-2250
Phone (937) 592-1625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3409OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellefontaine Physical Therapy LTD Physical Therapist CurrentSince Dec 1, 2016 Accepting new patients

Locations

711 Rush Ave
Bellefontaine, OH 43311
Phone (937) 592-1625

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.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1376992164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 RUSH AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112250",
            "telephone_number": "937-592-1625",
            "fax_number": "937-592-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 RUSH AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112250",
            "telephone_number": "937-592-1625",
            "fax_number": "937-592-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADINGS",
        "first_name": "MARGARET",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "3409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.