Individual provider Active NPI

Gretchen Mueller, PT

  • Physical Therapist
  • Dayton, OH
National Provider Identifier
1568547875
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011399 Issued in OH
Practice address
8087 Washington Village Dr
Ste 101
Dayton, OH 45458-1840
Phone
(937) 938-8380
Fax
(937) 938-8392
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011399 OH Primary
Physical Therapist 225100000X 10871 NC

Addresses

Primary practice location

8087 Washington Village Dr
Ste 101
Dayton, OH 45458-1840

Mailing address

8087 Washington Village Dr
Ste 101
Dayton, OH 45458-1840
Phone (937) 938-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10871NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1568547875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8087 WASHINGTON VILLAGE DR",
            "address_2": "STE 101",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581840",
            "telephone_number": "937-938-8380",
            "fax_number": "937-938-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8087 WASHINGTON VILLAGE DR",
            "address_2": "STE 101",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581840",
            "telephone_number": "937-938-8380",
            "fax_number": "937-938-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "GRETCHEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT011399",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.