Individual provider Active NPI

Stephen E Szymanski, PT

  • Physical Therapist
  • Maumee, OH
National Provider Identifier
1811089147
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011209 Issued in OH
Practice address
1560 Henthorne Dr
Maumee, OH 43537-1371
Phone
(419) 866-5196
Fax
(419) 866-5663
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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 011209 OH Primary

Addresses

Primary practice location

1560 Henthorne Dr
Maumee, OH 43537-1371

Mailing address

169 Red Hawk Run
Oak Harbor, OH 43449-2201
Phone (419) 308-3996

Other practice location 1

7100 S Wilkinson Way
Perrysburg, OH 43551-2590
Phone (419) 350-3347

Other practice location 2

1149 Experiment Farm Rd
Troy, OH 45373-1071
Phone (937) 540-9920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000209 OH Practitioner - Physical Therapist in Private Practice 1557468857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Link LLCGroup PAC ID 4587805940, 27 clinicians

Practice addresses (Care Compare)

9866 Olde US
20 Suite 107 a
Rossford, OH 43460-1716
Phone 41955955915000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011209OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Link LLC Physical Therapist CurrentSince Sep 27, 2017 Accepting new patients
Hallett Enterprises, LLC Physical Therapist Past Accepting new patients
Sandusky Wellness DME LLC PastSince Jun 20, 2012 Accepting new patients
Hallett Enterprises, LLC Physical Therapist Past Accepting new patients

Locations

9866 Olde US 20
Ste 107A
Rossford, OH 43460
Phone 41955955915000

4210 W Sylvania Ave
Ste 102
Toledo, OH 43623
Phone (419) 350-3347

4349 Talmadge Rd
Toledo, OH 43623
Phone (419) 654-8818

5151 Monroe St
Ste 104
Toledo, OH 43623

108 E Main St
Ste B
Woodville, OH 43469
Phone (419) 849-2900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1811089147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 RED HAWK RUN",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434492201",
            "telephone_number": "419-308-3996",
            "fax_number": "419-866-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 HENTHORNE DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371371",
            "telephone_number": "419-866-5196",
            "fax_number": "419-866-5663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 S Wilkinson Way",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435512590",
            "country_code": "US",
            "telephone_number": "419-350-3347",
            "fax_number": "419-866-7489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1149 Experiment Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731071",
            "country_code": "US",
            "telephone_number": "937-540-9920",
            "fax_number": "937-202-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZYMANSKI",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "011209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.