Individual provider Active NPI

Ajayaghosh M. Krishnan, PHYSICAL THERAPY

  • Physical Therapist
  • Rossford, OH
National Provider Identifier
1801814264
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT001582 Issued in OH
Practice address
1245 Schreier Rd
Rossford, OH 43460-1443
Phone
(419) 578-7360
Fax
(419) 578-7361
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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 PT001582 OH Primary

Addresses

Primary practice location

1245 Schreier Rd
Rossford, OH 43460-1443

Mailing address

14850 Stonehaven Dr
Perrysburg, OH 43551-9500
Phone (419) 344-1425

Other practice location 1

3450 W Central Ave
Suite 101A
Toledo, OH 43606-1416
Phone (419) 344-1425

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

LicenseStateTypeSpecialty
PT001582OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ultracare Physical Therapy LLC Current Accepting new patients
Ultracare Physical Therapy LLC CurrentSince Jun 13, 2013 Accepting new patients
Americare Health Services LLC Past Accepting new patients
Home Health of Defiance, LLC Past Accepting new patients
Americare Health Services, LLC Past Accepting new patients
Quality Family Eyecare, Inc PastSince Nov 20, 2022 Accepting new patients

Locations

1245 Schreier Rd
Rossford, OH 43460
Phone (419) 578-7360

3450 W Central Ave
Ste 101A
Toledo, OH 43606
Phone (419) 344-1425

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1801814264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14850 STONEHAVEN DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519500",
            "telephone_number": "419-344-1425",
            "fax_number": "419-578-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 SCHREIER RD",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601443",
            "telephone_number": "419-578-7360",
            "fax_number": "419-578-7361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 W Central Ave",
            "address_2": "Suite 101A",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436061416",
            "country_code": "US",
            "telephone_number": "419-344-1425",
            "fax_number": "419-578-7361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "AJAYAGHOSH",
        "middle_name": "M.",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT001582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rossford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.