Individual provider Active NPI

Valerie Kutka, PTA

  • Physical Therapy Assistant
  • Lima, OH
National Provider Identifier
1790419430
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA005608 Issued in OH
Practice address
5240 Agerter Rd
Lima, OH 45805-4156
Phone
(567) 204-3615
NPI assigned
Jul 9, 2022
Last updated
Jul 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA005608 OH Primary

Addresses

Primary practice location

5240 Agerter Rd
Lima, OH 45805-4156

Mailing address

5240 Agerter Rd
Lima, OH 45805-4156
Phone (567) 204-3615

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vldavies@unoh.edu
Direct Messaging Address vldavies@unoh.edu

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA005608OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1790419430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 AGERTER RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458054156",
            "telephone_number": "567-204-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 AGERTER RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458054156",
            "telephone_number": "567-204-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTKA",
        "first_name": "VALERIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA005608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vldavies@unoh.edu",
            "affiliation": "N",
            "address_1": "5240 Agerter Rd",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458054156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vldavies@unoh.edu",
            "affiliation": "N",
            "address_1": "5240 Agerter Rd",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458054156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.