Individual provider Active NPI

Matthew David Lohr, PTA

  • Physical Therapy Assistant
  • Tallmadge, OH
National Provider Identifier
1447996483
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
006628 Issued in OH
Practice address
619 Northwest Ave
Tallmadge, OH 44278-1203
Phone
(234) 274-1888
NPI assigned
May 11, 2022
Last updated
May 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 006628 OH Primary

Addresses

Primary practice location

619 Northwest Ave
Tallmadge, OH 44278-1203

Mailing address

1723 9TH St
Cuyahoga Falls, OH 44221-4507
Phone (330) 329-0170

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006628OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1447996483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 9TH ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442214507",
            "telephone_number": "330-329-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 NORTHWEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781203",
            "telephone_number": "234-274-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHR",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "006628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.