Individual provider Active NPI

Esther Elizabeth Axle, DPT

  • Physical Therapist
  • Beavercreek, OH
National Provider Identifier
1497187116
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014401 Issued in OH
Practice address
2587 Commons Blvd
Suite 120
Beavercreek, OH 45431-3841
Phone
(937) 426-5555
Fax
(937) 426-5556
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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 PT014401 OH Primary

Addresses

Primary practice location

2587 Commons Blvd
Suite 120
Beavercreek, OH 45431-3841

Mailing address

2587 Commons Blvd
Suite 120
Beavercreek, OH 45431-3841
Phone (937) 426-5555

Other names 1

  • Esther Elizabeth Poletta Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130904000293 OH Practitioner - Physical Therapist in Private Practice 3173766532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Defiance Physical Therapy and Sports Medicine, LLCGroup PAC ID 2466696380, 8 clinicians

Practice addresses (Care Compare)

1206 S Main St
Bryan, OH 43506-2441
Phone (419) 212-9361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014401OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Defiance Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Mar 11, 2025 Accepting new patients
Peters Family Eyecare Associates PastSince Mar 11, 2025 Accepting new patients

Locations

1206 S Main St
Bryan, OH 43506
Phone (419) 636-2525

851 S Clinton St
Defiance, OH 43512
Phone (419) 575-0281

Organizations & group practices 2

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1497187116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 COMMONS BLVD",
            "address_2": "SUITE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313841",
            "telephone_number": "937-426-5555",
            "fax_number": "937-426-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2587 COMMONS BLVD",
            "address_2": "SUITE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313841",
            "telephone_number": "937-426-5555",
            "fax_number": "937-426-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXLE",
        "first_name": "ESTHER",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT014401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "POLETTA",
            "middle_name": "ELIZABETH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.