Active NPI
Michelle McTighe, PTA
- Physical Therapy Assistant
- Medina, OH
National Provider Identifier
1740737873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 10624
- Practice address
- 3591 Reserve Commons Dr
Suite 100
Medina, OH 44256-5334 - Phone
- (330) 721-6504
- Fax
- (330) 721-6508
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 10624 | OH | Primary |
Addresses
Primary practice location
3591 Reserve Commons Dr
Suite 100
Medina, OH 44256-5334
Mailing address
3591 Reserve Commons Dr
Suite 100
Medina, OH 44256-5334
Phone (330) 721-6504
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10624 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1740737873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3591 RESERVE COMMONS DR",
"address_2": "SUITE 100",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565334",
"telephone_number": "330-721-6504",
"fax_number": "330-721-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3591 RESERVE COMMONS DR",
"address_2": "SUITE 100",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565334",
"telephone_number": "330-721-6504",
"fax_number": "330-721-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCTIGHE",
"first_name": "MICHELLE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "10624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.