Organization Active NPI

Ironton Physical Therapy Inc

  • Physical Therapist
  • Portsmouth, OH
National Provider Identifier
1720528201
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IRONTON PHYSICAL THERAPY INC
Practice address
702 Gay St
Portsmouth, OH 45662-4117
Phone
(606) 529-7760
Fax
(740) 529-7281
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Ms. Beverly Shae Ritchey
Title
Office Manager
Phone
(606) 324-0540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

702 Gay St
Portsmouth, OH 45662-4117

Mailing address

2700 Greenup Ave
Ashland, KY 41101-1953
Phone (740) 529-7760

Other names 1

  • Tri State Rehab Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031223000224 OH Part B Supplier - Clinic/Group Practice 0749188407 Receives reassigned benefits from 10 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ironton, OH; Portsmouth, OH; Wheelersburg, OH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ironton Physical Therap6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4120 Waverly Rd
Huntington, WV 25704
Phone (304) 429-7381

Practitioners & affiliated clinicians

Practitioners 10

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": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1720528201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GREENUP AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011953",
            "telephone_number": "740-529-7760",
            "fax_number": "740-529-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 GAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624117",
            "telephone_number": "606-529-7760",
            "fax_number": "740-529-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONTON PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "RITCHEY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "SHAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-324-0540",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri State Rehab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.