Physical Medicine Associates Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHYSICAL MEDICINE ASSOCIATES INC

Practice address

2222 Philadelphia Dr
Dept of PMR
Dayton, OH 45406-1891

Phone

(937) 277-7771

Fax

(937) 277-3771

NPI assigned

May 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pani S Akuthota, MDNPI 1285609370

Title

Medical Director

Phone

(937) 277-7771

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pani Saranga Akuthota, M.D., FAAEM

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Englewood, OH
  • NPI 1285609370
  Medicare reassignment NPD Authorized official
• Antony Thekkumpuram Jacob, MD

  • Physical Medicine & Rehabilitation Physician
  • Dayton, OH
  • NPI 1609871417
  NPD (past)
• Michael Joseph Pedoto, MD

  • Physical Medicine & Rehabilitation Physician
  • Dayton, OH
  • NPI 1578565230
  NPD (past)
• David B Shuster, MD

  • Spinal Cord Injury Medicine Physician
  • Kettering, OH
  • NPI 1194770453
  NPD (past)
• Redouane Goulmamine, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Mechanicsville, VA
  • NPI 1285636894
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1407809783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78000",
            "address_2": "DEPT 781272",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781272",
            "telephone_number": "937-298-5536",
            "fax_number": "937-298-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 PHILADELPHIA DR",
            "address_2": "DEPT OF PMR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061891",
            "telephone_number": "937-277-7771",
            "fax_number": "937-277-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "AKUTHOTA",
        "authorized_official_first_name": "PANI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "937-277-7771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0703564",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Philo
• Thomas Ryan Phipps, D.D.S.
• Deborah Ann Phlipot, RN
• Phoenix Pathology LLC
• PHS Emergency Billing LLC
• Physical Medicine Center of St Elizabeth
• Physician Sleep Diagnostic Centers, LLC
• Physicians & Surgeons Ambulance Service Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc

• Physical Medicine & Rehabilitation Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.