NPIMap

Organization Active NPI

Ohio University

Doing business as Ohio University Therapy Assoc

  • Audiologist
  • Athens, OH
National Provider Identifier
1578686333
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
OHIO UNIVERSITY
Doing business as
Ohio University Therapy Assoc
Practice address
W174 Grover Center
Athens, OH 45701
Phone
(740) 593-1404
Fax
(740) 593-4433
NPI assigned
Apr 9, 2007
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. Marianne S Malawista, PHD,MA ,CCC-SLPNPI 1427123231
Title
Coordinator of Clinical Services
Phone
(740) 593-1404

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Audiologist 231H00000X Primary
Speech-Language Pathologist 235Z00000X OH
Audiologist-Hearing Aid Fitter 237600000X A01437 OH

Addresses

Primary practice location

W174 Grover Center
Athens, OH 45701

Mailing address

W174 Grover Center
Athens, OH 45701
Phone (740) 593-1404

Other identifiers 2

IdentifierTypeStateIssuer
000000246469OtherOHANTHEM
0624471MedicaidOH

Other names 1

  • Ohio University Therapy Assoc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041019000190 OH Part B Supplier - Clinic/Group Practice 6406764117 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Athens, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ohio University Therapy Associates8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

174 Grover Ctr
Athens, OH 45701
Phone (740) 593-1404

Practitioners & affiliated clinicians

Practitioners 10

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1578686333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W174 GROVER CENTER",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-593-1404",
            "fax_number": "740-593-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W174 GROVER CENTER",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-593-1404",
            "fax_number": "740-593-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "MALAWISTA",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COORDINATOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "740-593-1404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD,MA ,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A01437",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000246469",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0624471",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio University Therapy Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.