NPIMap

Organization Active NPI

Newgen Therapy LLC

Doing business as Fyzical Centerville

  • Physical Therapist
  • Washington Township, OH
National Provider Identifier
1548913577
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEWGEN THERAPY LLC
Doing business as
Fyzical Centerville
Practice address
685 Lyons Rd
Washington Township, OH 45459-3978
Phone
(937) 938-1104
Fax
(937) 697-8115
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
John Wheatley
Title
Owner
Phone
(502) 468-6397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

685 Lyons Rd
Washington Township, OH 45459-3978

Mailing address

685 Lyons Rd
Washington Township, OH 45459-3978
Phone (937) 938-1104

Other names 1

  • Fyzical Centerville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220421002573 OH Part B Supplier - Clinic/Group Practice 2466849401 Receives reassigned benefits from 3 practitioners
Practice locations: Washington Township, OH

National Provider Directory

National Provider Directory

Locations

685 Lyons Rd
Washington Township, OH 45459
Phone (937) 938-1104

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1548913577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 LYONS RD",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454593978",
            "telephone_number": "937-938-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 LYONS RD",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454593978",
            "telephone_number": "937-938-1104",
            "fax_number": "937-697-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWGEN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "WHEATLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-468-6397"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Centerville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Centerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.