Active NPI
Jeremy Seabaugh, PT
- Physical Therapist
- Sabina, OH
National Provider Identifier
1508283235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.010600
- Practice address
- 210 Stockton Ave
Sabina, OH 45169-1227 - Phone
- (937) 218-0506
- NPI assigned
- Mar 19, 2014
- Last updated
- Mar 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT.010600 | OH | Primary |
Addresses
Primary practice location
210 Stockton Ave
Sabina, OH 45169-1227
Mailing address
210 Stockton Ave
Sabina, OH 45169-1227
Phone (937) 218-0506
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 |
|---|---|---|---|
| PT.010600 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1508283235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 STOCKTON AVE",
"city": "SABINA",
"state": "OH",
"postal_code": "451691227",
"telephone_number": "937-218-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 STOCKTON AVE",
"city": "SABINA",
"state": "OH",
"postal_code": "451691227",
"telephone_number": "937-218-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEABAUGH",
"first_name": "JEREMY",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.010600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sabina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.