Active NPI
Jeffrey D Mischnick, PT
- Physical Therapist
- Beavercreek, OH
National Provider Identifier
1699759407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 009037
- 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
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 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 Rehabilitation
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 009037 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oxford Physical Therapy and Rehabilitation | Physical Therapist | Past | Accepting new patients |
| Orthopaedic Consultants of Cincinnati, Inc. | Past | Accepting new patients | |
| Professional Physical Therapy Services, Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Mason, OH
- NPI 1326126061
-
- Orthopaedic Surgery Physician
- Cincinnati, OH
- NPI 1396792529
-
- Physical Therapist
- Mason, OH
- NPI 1790804326
-
- Physical Therapist
- Powell, OH
- NPI 1659593705
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.