Individual provider Active NPI

Jeffrey D Mischnick, PT

  • Physical Therapist
  • Beavercreek, OH
National Provider Identifier
1699759407
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 009037 Issued in OH
Practice address
4464 Indian Ripple Rd
Beavercreek, OH 45440-3252
Phone
(937) 426-1120
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 009037 OH Primary

Addresses

Primary practice location

4464 Indian Ripple Rd
Beavercreek, OH 45440-3252

Mailing address

7567 Central Parke Blvd Ste a
Mason, OH 45040-6855
Phone (513) 701-6100

Other practice location 1

4701 Creek Rd
Suite 110
Cincinnati, OH 45242-8398
Phone (513) 733-8894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

7567 Central Parke Blvd
A
Mason, OH 45040-6852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 009037OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Physical Therapy and Rehabilitation Physical Therapist PastSince Feb 7, 2021 Accepting new patients
Orthopaedic Consultants of Cincinnati, Inc. Past Accepting new patients
Professional Physical Therapy Services, Inc Physical Therapist PastSince Feb 7, 2021 Accepting new patients
Workers Choice Health Services Physical Therapist Past Accepting new patients

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1699759407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7567 CENTRAL PARKE BLVD STE A",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406855",
            "telephone_number": "513-701-6100",
            "fax_number": "513-701-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4464 INDIAN RIPPLE RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403252",
            "telephone_number": "937-426-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Creek Rd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452428398",
            "country_code": "US",
            "telephone_number": "513-733-8894",
            "fax_number": "513-588-2479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISCHNICK",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 009037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.