Individual provider Active NPI

Betsy Donahoe-Fillmore, PT, PHD.

  • Pediatric Physical Therapist
  • Urbana, OH
National Provider Identifier
1629162797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT004744 Issued in OH
Practice address
1450 E US Highway 36
Urbana, OH 43078-9112
Phone
(937) 653-7333
Fax
(937) 652-4574
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT004744 OH Primary

Addresses

Primary practice location

1450 E US Highway 36
Urbana, OH 43078-9112

Mailing address

1450 E US Highway 36
Urbana, OH 43078-9112
Phone (937) 653-7333

Other identifiers 2

IdentifierTypeStateIssuer
2585573MedicaidOH
000000028494OtherOHANTHEM BC BS

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PT004744OHMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mercy Health Partners 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629162797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E US HIGHWAY 36",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789112",
            "telephone_number": "937-653-7333",
            "fax_number": "937-652-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E US HIGHWAY 36",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789112",
            "telephone_number": "937-653-7333",
            "fax_number": "937-652-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHOE-FILLMORE",
        "first_name": "BETSY",
        "credential": "PT, PHD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OH",
            "license": "PT004744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2585573",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000028494",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.