Individual provider Active NPI

John Thomas Webster, L.P.T.

  • Physical Therapist
  • Toledo, OH
National Provider Identifier
1396810917
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001919 Issued in OH
Practice address
1614 S Byrne Rd
Suite DD
Toledo, OH 43614-3464
Phone
(419) 385-7755
Fax
(419) 385-8007
NPI assigned
Nov 21, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 001919 OH Primary

Addresses

Primary practice location

1614 S Byrne Rd
Suite DD
Toledo, OH 43614-3464

Mailing address

1614 S Byrne Rd
Suite DD
Toledo, OH 43614-3464
Phone (419) 385-7755

Other identifiers 4

IdentifierTypeStateIssuer
341601561-01OtherOHWORKERS COMP. PROVIDER NO
000000134925OtherOHANTHEM BC & BS PIN
0755017MedicaidOH
341601561-00OtherOHWORKERS COMP. PROVIDER NO

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
001919OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396810917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 S BYRNE RD",
            "address_2": "SUITE DD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143464",
            "telephone_number": "419-385-7755",
            "fax_number": "419-385-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 S BYRNE RD",
            "address_2": "SUITE DD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143464",
            "telephone_number": "419-385-7755",
            "fax_number": "419-385-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "L.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "001919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP. PROVIDER NO",
            "identifier": "341601561-01",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC & BS  PIN",
            "identifier": "000000134925",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0755017",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP. PROVIDER NO",
            "identifier": "341601561-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, 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.