Individual provider Active NPI

Braxton Fasone, DPT

  • Orthopedic Physical Therapist
  • Tiffin, OH
National Provider Identifier
1548053069
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT021801 Issued in OH
Practice address
3101 W US Highway 224
Tiffin, OH 44883-8305
Phone
(419) 448-0220
NPI assigned
May 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT021801 OH Primary

Addresses

Primary practice location

3101 W US Highway 224
Tiffin, OH 44883-8305

Mailing address

12541 Deer Run Rd
Findlay, OH 45840-7656
Phone (419) 788-6530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710000770 OH Practitioner - Physical Therapist in Private Practice 9537673546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Ohio Orthopedics and Sports Medicine IncGroup PAC ID 4082528484, 45 clinicians

Practice addresses (Care Compare)

3101 W US Hwy 224
Tiffin, OH 44883-8305
Phone (419) 448-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Ohio Orthopedics and Sports Medicine, Inc CurrentSince Jun 2, 2025 Accepting new patients
Northwest Ohio Orthopedics and Sports Medicine, Inc CurrentSince Jun 2, 2025 Accepting new patients

Locations

7595 County Road 236
Findlay, OH 45840
Phone (419) 427-3104

3101 W US Highway 224
Tiffin, OH 44883
Phone (419) 443-1429

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": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1548053069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12541 DEER RUN RD",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458407656",
            "telephone_number": "419-788-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W US HIGHWAY 224",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838305",
            "telephone_number": "419-448-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASONE",
        "first_name": "BRAXTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT021801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.