Physical Medicine Center of Van Wert Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

35078836 Issued in OH

Legal business name

PHYSICAL MEDICINE CENTER OF VAN WERT INC

Practice address

123 Hamilton St
Celina, OH 45822-1909

Phone

(419) 586-5760

Fax

(419) 586-7179

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jocelyn M Wray, MD

Title

Physician/Owner

Phone

(419) 586-5760

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1710149059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FOX RD",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912475",
            "telephone_number": "419-586-5760",
            "fax_number": "419-586-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HAMILTON ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221909",
            "telephone_number": "419-586-5760",
            "fax_number": "419-586-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE CENTER OF VAN WERT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "419-586-5760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35078836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2879354",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Albert Otte, O.D.
• Pain Management and Aesthetics LLC
• Kelly J Patterson, PTA
• Shelby Patterson, RN
• Sierra M Perry
• Physiomax Rehab,LLC
• Ashley H Place
• Lisa Place
• Emily K Post, AU.D.
• Gina Post

• Physical Medicine & Rehabilitation Physician in Celina, OH
• Providers in Celina, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.