Individual provider Active NPI

Thomas James Ensman, PT

  • Physical Therapist
  • Bowling Green, OH
National Provider Identifier
1801808118
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT08402 Issued in OH
Practice address
850 W Poe Rd
Bowling Green, OH 43402-1219
Phone
(419) 352-2228
Fax
(419) 352-2343
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT08402 OH Primary

Addresses

Primary practice location

850 W Poe Rd
Bowling Green, OH 43402-1219

Mailing address

1560 Henthorne Dr
Maumee, OH 43537-1371
Phone (419) 866-5275

Other identifiers 1

IdentifierTypeStateIssuer
1609899061OtherCORPORATE NPI

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
PT08402OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1801808118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 HENTHORNE DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371371",
            "telephone_number": "419-866-5275",
            "fax_number": "419-866-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W POE RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021219",
            "telephone_number": "419-352-2228",
            "fax_number": "419-352-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSMAN",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT08402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI",
            "identifier": "1609899061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.