NPIMap

Organization Active NPI

Professional Physical Therapy Services, Inc

Doing business as Sports Therapy, Inc

  • Physical Therapist
  • Mason, OH
National Provider Identifier
1790804326
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROFESSIONAL PHYSICAL THERAPY SERVICES, INC
Doing business as
Sports Therapy, Inc
Practice address
5700 Gateway
Suite 100a
Mason, OH 45040-1890
Phone
(513) 336-0540
Fax
(513) 336-6064
NPI assigned
Mar 28, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Eric Z Novicki, A.T.C.NPI 1629415690
Title
President
Phone
(513) 671-5841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5700 Gateway
Suite 100a
Mason, OH 45040-1890

Mailing address

11729 Springfield Pike
Cincinnati, OH 45246-2311
Phone (513) 671-5841

Other names 1

  • SPORTS THERAPY, INC Doing business as

National Provider Directory

National Provider Directory

Locations

1060 Nimitzview Dr
Ste 205
Cincinnati, OH 45230
Phone (513) 474-8600

11729 Springfield Pike
Cincinnati, OH 45246
Phone (513) 671-0900

5700 Gateway
Ste 100A
Mason, OH 45040
Phone (513) 229-7800

7450 S Mason Montgomery Rd
#105
Mason, OH 45040
Phone (513) 336-0540

2000 Joseph E Sanker Blvd
Fl 2
Norwood, OH 45212
Phone (513) 463-2518

4600 Smith Rd
Norwood, OH 45212
Phone (513) 531-1698

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790804326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11729 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462311",
            "telephone_number": "513-671-5841",
            "fax_number": "513-671-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 GATEWAY",
            "address_2": "SUITE 100A",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401890",
            "telephone_number": "513-336-0540",
            "fax_number": "513-336-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHYSICAL THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NOVICKI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-671-5841",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "A.T.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPORTS THERAPY, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.