William McCreedy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT9497 Issued in OH

Practice address

129 S Main St
Oberlin, OH 44074-1628

Phone

(440) 775-0200

NPI assigned

Aug 18, 2006

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Orthopaedic Associates, Inc

  • Orthopaedic Surgery Physician
  • Westlake, OH
  • NPI 1912978131
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1801900667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 N RIDGE RD",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440893524",
            "telephone_number": "440-984-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S MAIN ST",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741628",
            "telephone_number": "440-775-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREEDY",
        "first_name": "WILLIAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT9497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "29789687004",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000341316",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BWC",
            "identifier": "20091786600",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delbert Dean Mason Sr., M.D.
• Mohammed F M Masoud, PHARMD
• Katelyn Mathes
• Paul Michael Matus, M.D.
• Mary Mauldin
• Daniel E. McDermott, P.A.
• Sally McMullen, L.AC.
• Melissa A McMurphy
• Meadow Educational Services (Meadow Speech Therapy)
• Charity Yvette Mealing

• Physical Therapist in Oberlin, OH
• Providers in Oberlin, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.