Active NPI
Angela Gisela Durchholz, P.T., M.S.
- Physical Therapist
- Loveland, OH
National Provider Identifier
1427189760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 005243
- Practice address
- 732 Middleton Way
Ste. 102
Loveland, OH 45140-6989 - Phone
- (513) 774-7900
- Fax
- (513) 774-7999
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 005243 | OH | Primary |
| Physical Therapy Clinic/Center | 261QP2000X | PT.005243 | OH |
Addresses
Primary practice location
732 Middleton Way
Ste. 102
Loveland, OH 45140-6989
Mailing address
1232 Neale LN
Loveland, OH 45140-9493
Phone (513) 774-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2627205 | Medicaid | OH |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 005243 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Therapy | Physical Therapy | Past | Accepting new patients |
| Quest Physical Therapy | Past | Accepting new patients | |
| Center for Physical Therapy | Physical Therapy | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapy Assistant
- Loveland, OH
- NPI 1942630272
-
- Physical Therapy Clinic/Center
- Batavia, OH
- NPI 1396931168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1427189760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 NEALE LN",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451409493",
"telephone_number": "513-774-7900",
"fax_number": "513-774-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 MIDDLETON WAY",
"address_2": "STE. 102",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451406989",
"telephone_number": "513-774-7900",
"fax_number": "513-774-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURCHHOLZ",
"first_name": "ANGELA",
"middle_name": "GISELA",
"name_prefix": "Ms.",
"credential": "P.T., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 005243",
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OH",
"license": "PT.005243",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2627205",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.