Active NPI
Robin R Lightle, PTA
- Physical Therapy Assistant
- Lima, OH
National Provider Identifier
1699102186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.09039
- Practice address
- 2075 N Eastown Rd
Lima, OH 45807-2067 - Phone
- (419) 331-2442
- NPI assigned
- Sep 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.09039 | OH | Primary |
Addresses
Primary practice location
2075 N Eastown Rd
Lima, OH 45807-2067
Mailing address
405 Hoopengarner St
Wapakoneta, OH 45895-1215
Phone (567) 356-9937
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.09039 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1699102186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 HOOPENGARNER ST",
"city": "WAPAKONETA",
"state": "OH",
"postal_code": "458951215",
"telephone_number": "567-356-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 N EASTOWN RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458072067",
"telephone_number": "419-331-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTLE",
"first_name": "ROBIN",
"middle_name": "R",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-30",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA.09039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
- William O Light, MD
- Alexandre Lightfoot, MD
- Jade Lightfoot, RN, CNP
- Lighthouse Behavioral Health Services, LLC
- Lighthouse Recovery Services LLC
- Kayla Liles
- Lima Acres Nursing & Rehabilitation Center, LLC
- Lima Allen County Paramedics Inc
- Lima Anesthesia & Pain Treatment Professional Corporation
- Lima Brace & Limb, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.