Individual provider Active NPI

Richard R Ozmun, PT

  • Physical Therapist
  • Athens, OH
National Provider Identifier
1437362191
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 7430 Issued in OH
Practice address
2 Health Center Drive
Suite 160 Ohio University Student Health Service
Athens, OH 45701
Phone
(740) 593-4722
Fax
(740) 593-0921
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

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 PT 7430 OH Primary

Addresses

Primary practice location

2 Health Center Drive
Suite 160 Ohio University Student Health Service
Athens, OH 45701

Mailing address

W290 Grover Center
Ohio University Therapy Associates
Athens, OH 45701-2979
Phone (740) 593-0820

Other identifiers 2

IdentifierTypeStateIssuer
062447MedicaidOH
000000163115OtherANTHEM

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
PT 7430OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437362191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W290 GROVER CENTER",
            "address_2": "OHIO UNIVERSITY THERAPY ASSOCIATES",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012979",
            "telephone_number": "740-593-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HEALTH CENTER DRIVE",
            "address_2": "SUITE 160 OHIO UNIVERSITY STUDENT HEALTH SERVICE",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-593-4722",
            "fax_number": "740-593-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZMUN",
        "first_name": "RICHARD",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 7430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062447",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000163115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, 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.