NPIMap

Organization Active NPI

Allied Physical Rehabilitative Services, Inc.

  • Physical Therapist
  • Centerville, OH
National Provider Identifier
1568460673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT02628 Issued in OH
Legal business name
ALLIED PHYSICAL REHABILITATIVE SERVICES, INC.
Practice address
357 Regency Ridge Dr
Centerville, OH 45459-4252
Phone
(937) 436-2233
Fax
(937) 291-5530
NPI assigned
Jul 12, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles R Miller, P. T.NPI 1225166812
Title
President / Owner / P.T.
Phone
(937) 436-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT04238 OH
Physical Therapist 225100000X PT02628 OH Primary

Addresses

Primary practice location

357 Regency Ridge Dr
Centerville, OH 45459-4252

Mailing address

357 Regency Ridge Dr
Centerville, OH 45459-4252
Phone (937) 436-2233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050921001068 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981638632 Receives reassigned benefits from 1 practitioner
Practice locations: Centerville, OH

National Provider Directory

National Provider Directory

Locations

357 Regency Ridge Dr
Dayton, OH 45459
Phone (513) 436-2233

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568460673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 REGENCY RIDGE DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594252",
            "telephone_number": "937-436-2233",
            "fax_number": "937-291-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 REGENCY RIDGE DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594252",
            "telephone_number": "937-436-2233",
            "fax_number": "937-291-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PHYSICAL REHABILITATIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT / OWNER / P.T.",
        "authorized_official_telephone_number": "937-436-2233",
        "authorized_official_credential": "P. T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT04238",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT02628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.