Active NPI
Brian Heath McKinney, PTA
- Physical Therapy Assistant
- Athens, OH
National Provider Identifier
1467813063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.07478
- Practice address
- 20 University Estates Blvd
Athens, OH 45701-2838 - Phone
- (740) 589-7450
- Fax
- (740) 589-7426
- NPI assigned
- Mar 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.07478 | OH | Primary |
Addresses
Primary practice location
20 University Estates Blvd
Athens, OH 45701-2838
Mailing address
8259 Wicker Ave
Saint John, IN 46373-8878
Phone (219) 365-6560
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.07478 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1467813063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8259 WICKER AVE",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463738878",
"telephone_number": "219-365-6560",
"fax_number": "219-365-6561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 UNIVERSITY ESTATES BLVD",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012838",
"telephone_number": "740-589-7450",
"fax_number": "740-589-7426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "BRIAN",
"middle_name": "HEATH",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-10",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA.07478",
"primary": true
}
],
"identifiers": [],
"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 Mar 10, 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.