Organization Active NPI

Therapy Support, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Blacklick, OH
National Provider Identifier
1417990102
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
THERAPY SUPPORT, INC.
Practice address
6763 Commerce Court Dr
Blacklick, OH 43004-9200
Phone
(877) 885-4325
Fax
(614) 577-0159
NPI assigned
Jun 13, 2006
Organization subpart
Yes
Parent organization
NATIONAL HMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Mrs. Ruscell D Pavlin
Title
3M Director
Phone
(417) 380-5105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

6763 Commerce Court Dr
Blacklick, OH 43004-9200

Mailing address

2803 N Oak Grove Ave
Springfield, MO 65803-4976
Phone (417) 380-5105

Other identifiers 2

IdentifierTypeStateIssuer
000000156142OtherOHANTHEM BLUE CROSS
2043998MedicaidOH

National Provider Directory

National Provider Directory

Locations

6763 Commerce Court Dr
Blacklick, OH 43004
Phone (877) 885-4325

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1417990102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 N OAK GROVE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034976",
            "telephone_number": "417-380-5105",
            "fax_number": "417-380-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6763 COMMERCE COURT DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049200",
            "telephone_number": "877-885-4325",
            "fax_number": "614-577-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SUPPORT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL HME",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "PAVLIN",
        "authorized_official_first_name": "RUSCELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "3M DIRECTOR",
        "authorized_official_telephone_number": "417-380-5105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000156142",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043998",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacklick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.