Harry T Mathivha

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

OT.003354 Issued in OH

Legal business name

HARRY T MATHIVHA

Doing business as

Liv Fitness Center

Practice address

985 E Marietta Rd
McConnelsville, OH 43756-9768

Phone

(740) 962-2152

NPI assigned

Sep 26, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Harry Tshifhiwa Mathivha, OTR/LNPI 1598704942

Title

Owner

Phone

(740) 962-2152

Specialties & licenses 1

Addresses

Other names 1

• LIV FITNESS CENTER Doing business as

Locations

Practitioners 1

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.

• Harry Tshifhiwa Mathivha, OTR/L

  • Occupational Therapist
  • McConnelsville, OH
  • NPI 1598704942
  Authorized official Same address or phone

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1588765929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ARBORGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509224",
            "telephone_number": "740-962-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 E MARIETTA RD",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437569768",
            "telephone_number": "740-962-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY T MATHIVHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MATHIVHA",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "TSHIFHIWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-962-2152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OH",
            "license": "OT.003354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIV FITNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandy Lynn Gilmour, RPH
• Uriah Matthew Goins
• Craig William Gorrell
• Paige Madison Gorrell
• Erin Michelle Hale
• Highland Oaks Health Center, LLC (Highland Oaks Health Center)
• Highland Oaks Healthcare LLC
• Amanda Hillyer, BA, QMHS
• Katherine Jane Jones
• Justin A Kerr, PMHNP-BC

• Multi-Specialty Clinic/Center in McConnelsville, OH
• Providers in McConnelsville, OH by specialty
• Multi-Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.