Organization Active NPI

PT Works of Wapakoneta Inc

  • Physical Therapist
  • Wapakoneta, OH
National Provider Identifier
1457423816
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003724 Issued in OH
Legal business name
PT WORKS OF WAPAKONETA INC
Practice address
410 N Dixie Hwy
Wapakoneta, OH 45895-7739
Phone
(419) 738-9675
Fax
(567) 356-4334
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Mrs. Sandra Huffman, PTNPI 1083776447
Title
Owner
Phone
(419) 738-9675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 003724 OH Primary

Addresses

Primary practice location

410 N Dixie Hwy
Wapakoneta, OH 45895-7739

Mailing address

PO Box 101
Wapakoneta, OH 45895-0101
Phone (419) 738-9675

Other identifiers 1

IdentifierTypeStateIssuer
0882979MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071126000743 OH Part B Supplier - Clinic/Group Practice 9032207170 Receives reassigned benefits from 1 practitioner
Practice locations: Wapakoneta, OH

National Provider Directory

National Provider Directory

Locations

410 N Dixie Hwy
Wapakoneta, OH 45895
Phone (419) 738-9675

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1457423816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458950101",
            "telephone_number": "419-738-9675",
            "fax_number": "567-356-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N DIXIE HWY",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458957739",
            "telephone_number": "419-738-9675",
            "fax_number": "567-356-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT WORKS OF WAPAKONETA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-738-9675",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "003724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0882979",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.