NPIMap

Organization Active NPI

Southeast Ohio Sports Medicine and Physical Therapy

  • Specialist
  • Athens, OH
National Provider Identifier
1649445438
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1284 Issued in OH
Legal business name
SOUTHEAST OHIO SPORTS MEDICINE AND PHYSICAL THERAPY
Practice address
215 Columbus Rd Ste 101
Athens, OH 45701-1335
Phone
(740) 592-6900
Fax
(740) 593-3530
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
James W Ferguson, PTNPI 1639118763
Title
Partner
Phone
(740) 592-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1284 OH Primary

Addresses

Primary practice location

215 Columbus Rd Ste 101
Athens, OH 45701-1335

Mailing address

215 Columbus Rd Ste 101
Athens, OH 45701-1335
Phone (740) 592-6900

National Provider Directory

National Provider Directory

Locations

215 Columbus Rd
Ste 101
Athens, OH 45701
Phone (740) 592-6900

Practitioners & affiliated clinicians

Practitioners 5

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1649445438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 COLUMBUS RD STE 101",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011335",
            "telephone_number": "740-592-6900",
            "fax_number": "740-593-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 COLUMBUS RD STE 101",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011335",
            "telephone_number": "740-592-6900",
            "fax_number": "740-593-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST OHIO SPORTS MEDICINE AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "740-592-6900",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "1284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 23, 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.