Individual provider Active NPI

Antonette Mader Aram, PT

  • Physical Therapist
  • Upper Arlington, OH
National Provider Identifier
1720056351
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006830 Issued in OH
Practice address
4605 Sawmill Rd
Upper Arlington, OH 43220-2246
Phone
(614) 827-8700
Fax
(614) 827-8701
NPI assigned
Mar 9, 2006
Last updated
Mar 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1117968 TX
Physical Therapist 225100000X PT006830 OH Primary

Addresses

Primary practice location

4605 Sawmill Rd
Upper Arlington, OH 43220-2246

Mailing address

4605 Sawmill Rd
Upper Arlington, OH 43220-2246
Phone (614) 827-8700

Other identifiers 1

IdentifierTypeStateIssuer
3008220MedicaidOH

Other names 1

  • Antonette Lee Mader Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090530000014 OH Practitioner - Physical Therapist in Private Practice 2567457906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fitness Matters Inc.Group PAC ID 3375799919, 30 clinicians

Practice addresses (Care Compare)

1393 Dublin Rd
Columbus, OH 43215-1084
Phone (614) 487-9715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT006830OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Matters Inc. CurrentSince Sep 30, 2022 Accepting new patients

Locations

1393 Dublin Rd
Columbus, OH 43215
Phone (614) 487-9715

7710 Olentangy River Rd
Columbus, OH 43235
Phone (614) 841-3900

7710 Olentangy River Rd
Ste 100
Columbus, OH 43235
Phone (614) 841-3900

5150 Bradenton Ave
Ste C
Dublin, OH 43017
Phone (614) 362-6571

164 Wetherby Ln
Westerville, OH 43081
Phone (614) 392-1880

Organizations & group practices 1

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1720056351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 SAWMILL RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432202246",
            "telephone_number": "614-827-8700",
            "fax_number": "614-827-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 SAWMILL RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432202246",
            "telephone_number": "614-827-8700",
            "fax_number": "614-827-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAM",
        "first_name": "ANTONETTE",
        "middle_name": "MADER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1117968",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT006830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3008220",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONETTE",
            "last_name": "MADER",
            "middle_name": "LEE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upper Arlington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.