Proactiv Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROACTIV PHYSICAL THERAPY

Practice address

8124 Road M
Ottawa, OH 45875-9544

Phone

(419) 969-4294

NPI assigned

Dec 18, 2019

Organization subpart

No

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

Authorized official

Name

Matthew Recker, PTNPI 1073066478

Title

Physical Therapist

Phone

(419) 969-4294

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Recker, DPT

  • Physical Therapist
  • Findlay, OH
  • NPI 1073066478
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1700424942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8124 ROAD M",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458759544",
            "telephone_number": "419-969-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 ROAD M",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458759544",
            "telephone_number": "419-969-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIV PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "RECKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "419-969-4294",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Counseling Center, Inc.
• Pathways Counseling Center, Inc.
• April L Patino, LPN
• Andrea M Phillips
• Kristin Phillips, PT, DPT
• Putnam County Board of Mental Retardation
• Putnam County Council on Aging, Inc.
• Putnam County Educational Service Center
• Putnam County Primary Care LLC
• Putnam Heritage Assisted Living LLC

• Physical Therapy Clinic/Center in Ottawa, OH
• Providers in Ottawa, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.