Corey Allen Jasper, PTA
Individual provider Active NPI Physical Therapy Assistant · Rushville, OH
NPI 1508412487 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1508412487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA.011112 (OH)
- Practice address
- 4534 County Road 62
Rushville, OH 43150 - Phone
- (740) 583-4935
- NPI assigned
- Aug 15, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.011112 | OH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.011112 | OH | Yes |
Addresses
Primary practice location
4534 County Road 62
Rushville, OH 43150
Mailing address
339 E Maple St
North Canton, OH 44720-2593
Phone (330) 498-8200
Other providers in Rushville, OH
- Stephanie A Brown
- Buckeye Bed Bug Detection
- Sheryl L Clonch
- Debra Fuller
- Wendy Dawn Galiher
- Thomasina Jean Kellner
- Longs Health and Wellness Clinic
- Dana Marsh
- Michelle A Nusser
- On the Farm
All providers in Rushville, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.