Organization Active NPI

Wintersville Medical Group LLC

  • Physical Therapist
  • Wintersville, OH
National Provider Identifier
1720214745
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WINTERSVILLE MEDICAL GROUP LLC
Practice address
1562 Cadiz Road
Suite B
Wintersville, OH 43953
Phone
(740) 264-1417
NPI assigned
Jun 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Dr. Thaddaues C Schrickel, DC
Title
President
Phone
(740) 264-6235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1562 Cadiz Road
Suite B
Wintersville, OH 43953

Mailing address

1562 Cadiz Rd
Suite B
Wintersville, OH 43953-7630
Phone (740) 264-1417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091103000290 OH Part B Supplier - Clinic/Group Practice 9335287820 Receives reassigned benefits from 2 practitioners
Practice locations: Wintersville, OH

National Provider Directory

National Provider Directory

Locations

1562 Cadiz Rd
Wintersville, OH 43953
Phone (740) 264-1417

1562 Cadiz Rd
Ste B
Wintersville, OH 43953
Phone (740) 264-1417

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1720214745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 CADIZ RD",
            "address_2": "SUITE B",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439537630",
            "telephone_number": "740-264-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 CADIZ ROAD",
            "address_2": "SUITE B",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "43953",
            "telephone_number": "740-264-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTERSVILLE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "SCHRICKEL",
        "authorized_official_first_name": "THADDAUES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-264-6235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wintersville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.