Active NPI
Benjamin Gutzky, PT,DPT
- Physical Therapist
- Middlefield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 14950 S Springdale Ave
Middlefield, OH 44062-9661 - Phone
- (440) 993-1004
- Fax
- (440) 574-7254
- NPI assigned
- May 16, 2022
- 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 | Primary |
Addresses
Primary practice location
14950 S Springdale Ave
Middlefield, OH 44062-9661
Mailing address
PO Box 987
Middlefield, OH 44062-0987
Phone (440) 993-1004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT019836 | Other | OH | STATE OTPTAT BOARD LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Info@myofitclinic.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220610001338 | OH | Practitioner - Physical Therapist in Private Practice | 7911385513 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PT Link LLC
Practice addresses (Care Compare)
7617 Dayton Springfield Rd
Fairborn, OH 45324-3560
Phone (937) 340-6063
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Pain Services, PLL | Current | Accepting new patients | |
| Toledo Pain Services, PLL | Current | Accepting new patients | |
| Cramer Physical Therapy, LLC | Current | Accepting new patients | |
| PT Link LLC | Physical Therapist | Current | Accepting new patients |
| Hallett Enterprises, LLC | Physical Therapist | Past | Accepting new patients |
| Steward Medical Group, Inc | Past | Accepting new patients |
Locations
7617 Dayton Springfield Rd
Fairborn, OH 45324
Phone (937) 340-6063
1823 W State St
Fremont, OH 43420
Phone (419) 334-7737
110 S Church St
New Carlisle, OH 45344
Phone (937) 845-0260
846 S Coy Rd
Ste 100
Oregon, OH 43616
1030 Hayes Ave
Sandusky, OH 44870
4210 W Sylvania Ave
Ste 102
Toledo, OH 43623
Phone (419) 350-3347
4349 Talmadge Rd
Toledo, OH 43623
Phone (419) 654-8818
5151 Monroe St
Ste 104
Toledo, OH 43623
3400 Meijer Dr
Toledo, OH 43617
Phone (419) 531-3500
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Oregon, OH
- NPI 1427703024
-
- Physical Therapist
- Oregon, OH
- NPI 1861743924
-
- Specialist
- Brighton, MA
- NPI 1356654495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1700523339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 987",
"city": "MIDDLEFIELD",
"state": "OH",
"postal_code": "440620987",
"telephone_number": "440-993-1004",
"fax_number": "440-574-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14950 S SPRINGDALE AVE",
"city": "MIDDLEFIELD",
"state": "OH",
"postal_code": "440629661",
"telephone_number": "440-993-1004",
"fax_number": "440-574-7254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTZKY",
"first_name": "BENJAMIN",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-16",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OTPTAT BOARD LICENSE",
"identifier": "PT019836",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Info@myofitclinic.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "14950 S Springdale Ave",
"city": "Middlefield",
"state": "OH",
"country_code": "US",
"postal_code": "440629661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Middlefield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.