Active NPI
Therapy Support, Inc.
- Oxygen Equipment & Supplies (DME)
- Blacklick, OH
National Provider Identifier
1417990102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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 HME
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000156142 | Other | OH | ANTHEM BLUE CROSS |
| 2043998 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.