Individual provider Active NPI

Dennis Strotman, MPT, ATC

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1689647984
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9479 Issued in OH
Practice address
2475 W Galbraith Rd Ste a
Cincinnati, OH 45239-4368
Phone
(513) 729-1798
Fax
(513) 729-2041
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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 PT9479 OH Primary

Addresses

Primary practice location

2475 W Galbraith Rd Ste a
Cincinnati, OH 45239-4368

Mailing address

9419 Kenwood Rd
Cincinnati, OH 45242-6811
Phone (513) 792-0777

Other identifiers 2

IdentifierTypeStateIssuer
000000178624OtherANTHEM
300563892002OtherOHMEDICAL MUTUAL PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051222000804 OH Practitioner - Physical Therapist in Private Practice 6901828599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT9479OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc CurrentSince Oct 24, 2022 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Oct 24, 2022 Accepting new patients
Rehabclinics SPT Inc Physical Therapist Current Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients

Locations

9419 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 227-0703

2475 W Galbraith Rd
Ste A
Cincinnati, OH 45239
Phone (513) 522-0300

9596 Colerain Ave
Cincinnati, OH 45251
Phone (513) 661-3114

Organizations & group practices 4

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1689647984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 KENWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426811",
            "telephone_number": "513-792-0777",
            "fax_number": "513-792-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 W GALBRAITH RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452394368",
            "telephone_number": "513-729-1798",
            "fax_number": "513-729-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROTMAN",
        "first_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "MPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT9479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000178624",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL PROVIDER",
            "identifier": "300563892002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.