Individual provider Active NPI

Aaron Henry Pertner, DPT

  • Physical Therapist
  • Dayton, OH
National Provider Identifier
1710324587
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014315 Issued in OH
Practice address
7018 Cedar Pines CT
Dayton, OH 45459-3155
Phone
(937) 234-7972
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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 PT014315 OH Primary

Addresses

Primary practice location

7018 Cedar Pines CT
Dayton, OH 45459-3155

Mailing address

7018 Cedar Pines CT
Dayton, OH 45459-3155
Phone (937) 234-7972

Other practice location 1

3817 Colonel Glenn Hwy
Beavercreek, OH 45324-2031
Phone (937) 427-9200

Other practice location 2

830 Falls Creek Dr
Vandalia, OH 45377-8600
Phone (937) 890-9235

Other identifiers 2

IdentifierTypeStateIssuer
2187155MedicaidOH
AB7360731OtherOHMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014315OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Xcel Physical Therapy LLC Physical Therapist PastSince Jun 1, 2021 Accepting new patients
Xcel Sports Medicine Past Accepting new patients
Abc Pediatric Therapy LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1710324587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018 CEDAR PINES CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593155",
            "telephone_number": "937-234-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018 CEDAR PINES CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593155",
            "telephone_number": "937-234-7972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3817 Colonel Glenn Hwy",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "453242031",
            "country_code": "US",
            "telephone_number": "937-427-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Falls Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "OH",
            "postal_code": "453778600",
            "country_code": "US",
            "telephone_number": "937-890-9235",
            "fax_number": "937-890-9239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERTNER",
        "first_name": "AARON",
        "middle_name": "HENRY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT014315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187155",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "AB7360731",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.