Katthleen Middleton, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

07219 Issued in OH

Practice address

2041 Hubbard Rd
Madison, OH 44057-2565

Phone

(440) 428-2264

NPI assigned

Apr 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1629574256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BETTY LOU DR",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629426",
            "telephone_number": "440-812-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 HUBBARD RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572565",
            "telephone_number": "440-428-2264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 N Ridge Rd W",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440046366",
            "country_code": "US",
            "telephone_number": "440-261-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "KATTHLEEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "07219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meadow Falls Madison Opco LLC
• Meridia Medical Group LLC
• Meridia Medical Group, LLC
• Manoochehr Meshginpoosh, M.D.
• Michael D Eppig MD
• Josephine Mikhail, MD
• Sandy Mikhail, PHARMD
• Debra L Miklos
• Miller Holdings Broadfield, Inc.
• Miller Holdings Stewart, Inc.

• Physical Therapy Assistant in Madison, OH
• Providers in Madison, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.