Individual provider Active NPI

Terry L Jolliff, MPT

  • Physical Therapist
  • Bowling Green, OH
National Provider Identifier
1700862950
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10483 Issued in OH
Practice address
1069 Klotz Rd
Bowling Green, OH 43402-4820
Phone
(419) 728-7019
Fax
(419) 728-7020
NPI assigned
Dec 20, 2005
Last updated
Apr 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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 PT10483 OH Primary

Addresses

Primary practice location

1069 Klotz Rd
Bowling Green, OH 43402-4820

Mailing address

1725 Western Ave
Suite B
Findlay, OH 45840-1345
Phone (419) 422-5526

Other identifiers 2

IdentifierTypeStateIssuer
1442035OtherOHBWC
2495590MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324001136 OH Practitioner - Physical Therapist in Private Practice 8022909753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Link LLCGroup PAC ID 4587805940, 27 clinicians

Practice addresses (Care Compare)

1070 N Main St
Bowling Green, OH 43402-1346
Phone (419) 559-5591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10483OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Link LLC Physical Therapist CurrentSince Jan 15, 2022 Accepting new patients
Star PT Inc Physical Therapist Past Accepting new patients

Locations

1070 N Main St
Bowling Green, OH 43402

134 E Findlay St
Carey, OH 43316

1000 Tiffin Ave
Findlay, OH 45840
Phone (419) 424-4058

122 W Center St
Fostoria, OH 44830
Phone (419) 425-0204

9866 Olde US 20
Ste 107A
Rossford, OH 43460
Phone 41955955915000

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1700862950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 WESTERN AVE",
            "address_2": "SUITE B",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401345",
            "telephone_number": "419-422-5526",
            "fax_number": "419-422-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 KLOTZ RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024820",
            "telephone_number": "419-728-7019",
            "fax_number": "419-728-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLIFF",
        "first_name": "TERRY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT10483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "1442035",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2495590",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.

Verify at the official NPI Registry.