Seth Bidlack, OT

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OT011233 Issued in OH

Practice address

11154 Road 230
Cecil, OH 45821-9309

Phone

(419) 438-5026

NPI assigned

Jan 30, 2020

Last updated

Dec 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 3 Phase Performance Therapy and Sports

  • Occupational Therapist
  • Cecil, OH
  • NPI 1619862463
  Medicare reassignment NPD Authorized official
• 3 Phase Endurance Training LLC

  dba 3 Phase Health Wellness and Rehabilitation

  • Occupational Therapist
  • Cecil, OH
  • NPI 1679381248

  Athletic Trainer

  NPD Authorized official
• Hand in Hand Comprehensive Therapy Specialists Inc

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1942465679
  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1780215657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11154 ROAD 230",
            "city": "CECIL",
            "state": "OH",
            "postal_code": "458219309",
            "telephone_number": "419-438-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11154 ROAD 230",
            "city": "CECIL",
            "state": "OH",
            "postal_code": "458219309",
            "telephone_number": "419-438-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDLACK",
        "first_name": "SETH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-30",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT003966",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IN",
            "license": "31007078A",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "OH",
            "license": "OT011233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3 Phase Endurance Training LLC (3 Phase Health Wellness and Rehabilitation)
• 3 Phase Performance Therapy and Sports
• Stacy A Betzer
• Jaclyn Carr
• Jama Cline, RN
• Kandise Violet Fisher
• Larry Gross
• Anita L Mack

• Physical Rehabilitation Occupational Therapist in Cecil, OH
• Providers in Cecil, OH by specialty
• Physical Rehabilitation Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.