Active NPI
Joseph Distel, PT
- Physical Therapist
- Findlay, OH
National Provider Identifier
1629006556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-04742
- Practice address
- 1725 Western Ave Ste B
Findlay, OH 45840-1390 - Phone
- (419) 422-5526
- Fax
- (419) 422-5562
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-04742 | OH | Primary |
Addresses
Primary practice location
1725 Western Ave Ste B
Findlay, OH 45840-1390
Mailing address
8437 Lakebrook Dr
Findlay, OH 45840-8870
Phone (419) 422-5526
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04764 | Other | OH | PARAMOUNT |
| DI4057732 | Other | OH | ADMINISTAR FEDERAL |
| P00178552 | Other | OH | RR MEDICARE |
| 000000355382 | Other | OH | ANTHEM |
| 2322249 | Medicaid | OH | |
| 28862522000 | Other | OH | BUREAU OF WORKERS COMP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-04742 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1629006556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8437 LAKEBROOK DR",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458408870",
"telephone_number": "419-422-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 WESTERN AVE STE B",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458401390",
"telephone_number": "419-422-5526",
"fax_number": "419-422-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISTEL",
"first_name": "JOSEPH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT-04742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "04764",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINISTAR FEDERAL",
"identifier": "DI4057732",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00178552",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000355382",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2322249",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF WORKERS COMP",
"identifier": "28862522000",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Findlay, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.