Marysville Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 004515 Issued in OH

Legal business name

MARYSVILLE PHYSICAL THERAPY INC

Practice address

211 Stocksdale Dr
Marysville, OH 43040-5507

Phone

(937) 644-3311

Fax

(937) 644-0373

NPI assigned

Nov 28, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sherry L Wood

Title

Office Manager

Phone

(937) 644-3311

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christi Marie Lee, PT

  • Physical Therapist
  • Delaware, OH
  • NPI 1093202509
  Medicare reassignment NPD
• Mark Ramsey, MPT

  • Physical Therapist
  • Westerville, OH
  • NPI 1245214121
  Medicare reassignment NPD

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1528041274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 STOCKSDALE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405507",
            "telephone_number": "937-644-3311",
            "fax_number": "937-644-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 STOCKSDALE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405507",
            "telephone_number": "937-644-3311",
            "fax_number": "937-644-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYSVILLE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-644-3311"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 004515",
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": "OH",
            "license": "9611000450",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT 004515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP NUMBER",
            "identifier": "000000161895",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2614531",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE GROUP",
            "identifier": "685840",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE INSURANCE NUMB",
            "identifier": "15668",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REHAB PROVIDER NETWORK NU",
            "identifier": "23-2804807",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marysville Ohio Surgical Center
• Marysville Orthopedics
• Marysville Pediatrics Inc
• Marysville Primary Care, Inc
• Robert Russell Massie, LICDC
• Margaret A Mawhirter, PA-C
• Pamela Nelle May, STNA, LPN
• Kyle D Mayginnes, O.D.

• Physical Therapist in Marysville, OH
• Providers in Marysville, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.