Individual provider Active NPI

Dennis A Mirosh, DPT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1497370613
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018659 Issued in OH
Practice address
4355 Ferguson Dr
Cincinnati, OH 45245-5136
Phone
(513) 232-2663
NPI assigned
Jun 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 PT018659 OH Primary

Addresses

Primary practice location

4355 Ferguson Dr
Cincinnati, OH 45245-5136

Mailing address

560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663

Other practice location 1

720 Elm St Ste C
Wilmington, OH 45177-2878
Phone (937) 283-2186

Other identifiers 1

IdentifierTypeStateIssuer
0409184MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200625002903 OH Practitioner - Physical Therapist in Private Practice 6507288206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthocincy Orthopaedics and Sports Medicine PSC 163 clinicians

Practice addresses (Care Compare)

4355 Ferguson Dr
Cincinnati, OH 45245-5136
Phone (513) 232-2663

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Jun 15, 2020 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Jun 15, 2020 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-3599

4355 Ferguson Dr
Cincinnati, OH 45245
Phone (513) 221-2663

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

2123 Auburn Ave
Ste 630
Cincinnati, OH 45219
Phone (513) 585-1970

8251 Pine Rd
Ste 212
Cincinnati, OH 45236
Phone 5138410222120

5050 E Galbraith Rd
Ste A
Cincinnati, OH 45236
Phone (513) 376-9571

9871 Montgomery Rd
Montgomery, OH 45242

720 Elm St
Ste C
Wilmington, OH 45177
Phone (937) 283-2186

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1497370613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S LOOP RD",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173405",
            "telephone_number": "859-301-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 FERGUSON DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452455136",
            "telephone_number": "513-232-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Elm St Ste C",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "OH",
            "postal_code": "451772878",
            "country_code": "US",
            "telephone_number": "937-283-2186",
            "fax_number": "940-381-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIROSH",
        "first_name": "DENNIS",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0409184",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.