Active NPI
Aubrey Marie Kern
- Physical Therapist
- Oakwood, OH
National Provider Identifier
1801495676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014762
- Practice address
- 105 Sugar Camp Cir Ste 221
Oakwood, OH 45409-1979 - Phone
- (937) 227-3174
- Fax
- (937) 227-3325
- NPI assigned
- Oct 22, 2020
- 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 Therapist | 225100000X | 014762 | OH | Primary |
Addresses
Primary practice location
105 Sugar Camp Cir Ste 221
Oakwood, OH 45409-1979
Mailing address
9750 Ariadne TRL
Dayton, OH 45458-4120
Phone (330) 703-9745
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 |
|---|---|---|---|
| 014762 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1801495676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9750 ARIADNE TRL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454584120",
"telephone_number": "330-703-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SUGAR CAMP CIR STE 221",
"city": "OAKWOOD",
"state": "OH",
"postal_code": "454091979",
"telephone_number": "937-227-3174",
"fax_number": "937-227-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "AUBREY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "014762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.