NPIMap

Organization Active NPI

Summit Therapy and Performance Center, Inc.

  • Physical Therapist
  • Ontario, OH
National Provider Identifier
1568420297
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 009695 Issued in OH
Legal business name
SUMMIT THERAPY AND PERFORMANCE CENTER, INC.
Practice address
2170 Stumbo Rd
Ontario, OH 44906-1275
Phone
(419) 756-2525
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Mr. David H. Hofstetter, P.T.
Title
C.E.O.
Phone
(419) 756-2525

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT 009695 OH Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT 008961 OH
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT 006999 OH

Addresses

Primary practice location

2170 Stumbo Rd
Ontario, OH 44906-1275

Mailing address

2170 Stumbo Rd
Ontario, OH 44906-1275

Other identifiers 1

IdentifierTypeStateIssuer
2693009MedicaidOH

National Provider Directory

National Provider Directory

Locations

600 S Trimble Rd
Mansfield, OH 44906
Phone (234) 274-4681

41 Briggs Dr
Ontario, OH 44906
Phone (419) 529-2032

142 N Gamble St
Ste H
Shelby, OH 44875
Phone (567) 844-0044

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1568420297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 STUMBO RD",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 STUMBO RD",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061275",
            "telephone_number": "419-756-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT THERAPY AND PERFORMANCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "HOFSTETTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "419-756-2525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 009695",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 008961",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 006999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2693009",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.