Individual provider Active NPI

Richard A Maag, DPT

  • Physical Therapist
  • Lima, OH
National Provider Identifier
1659616845
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 013894 Issued in OH
Practice address
2758 W Market St
Lima, OH 45805-2120
Phone
(419) 228-7871
NPI assigned
Nov 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 013894 OH Primary

Addresses

Primary practice location

2758 W Market St
Lima, OH 45805-2120

Mailing address

2758 W Market St
Lima, OH 45805-2120
Phone (419) 228-7871

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

LicenseStateTypeSpecialty
PT 013894OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Therapy Services, LLC Physical Therapist PastSince Aug 1, 2013 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1659616845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052120",
            "telephone_number": "419-228-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052120",
            "telephone_number": "419-228-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAG",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 013894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.