Individual provider Active NPI

Holly Muehlenkamp, P.T.

  • Orthopedic Physical Therapist
  • Wyoming, OH
National Provider Identifier
1790930873
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 003471 Issued in OH
Practice address
649 Flagstaff Dr
Wyoming, OH 45215-2524
Phone
(513) 521-3309
NPI assigned
Nov 17, 2008
Last updated
Nov 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 003471 OH Primary

Addresses

Primary practice location

649 Flagstaff Dr
Wyoming, OH 45215-2524

Mailing address

649 Flagstaff Dr
Wyoming, OH 45215-2524
Phone (513) 521-3309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090317000177 OH Practitioner - Physical Therapist in Private Practice 3971660077 Practice locations: Cincinnati, OH

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 W Compton Rd
Unit 3 Suite B
Cincinnati, OH 54231-3846
Phone (513) 460-8995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 003471OHMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1790930873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 FLAGSTAFF DR",
            "city": "WYOMING",
            "state": "OH",
            "postal_code": "452152524",
            "telephone_number": "513-521-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 FLAGSTAFF DR",
            "city": "WYOMING",
            "state": "OH",
            "postal_code": "452152524",
            "telephone_number": "513-521-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUEHLENKAMP",
        "first_name": "HOLLY",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT 003471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.