Organization Active NPI

Advantage Physical Therapy LLC

  • Physical Therapist
  • Wshngtn CT HS, OH
National Provider Identifier
1821217563
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADVANTAGE PHYSICAL THERAPY LLC
Practice address
1392 Rawlings St
Wshngtn CT HS, OH 43160-1985
Phone
(740) 333-7848
Fax
(740) 333-1212
NPI assigned
Apr 24, 2007
Last updated
Nov 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Mr. Tarkio ChesterNPI 1396868279
Title
Member
Phone
(740) 333-7848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1392 Rawlings St
Wshngtn CT HS, OH 43160-1985

Mailing address

1392 Rawlings St
Wshngtn CT HS, OH 43160-1985
Phone (740) 333-7848

Other identifiers 3

IdentifierTypeStateIssuer
000000380490OtherANTHEM BC AND BS
696307OtherACN GRP-UNITED HEALTHCARE
2636839MedicaidOH

National Provider Directory

National Provider Directory

Locations

2021 Columbus Ave
Washington Court House, OH 43160
Phone (740) 333-7848

1392 Rawlings St
Wshngtn Ct Hs, OH 43160
Phone (740) 333-7848

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1821217563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 RAWLINGS ST",
            "city": "WSHNGTN CT HS",
            "state": "OH",
            "postal_code": "431601985",
            "telephone_number": "740-333-7848",
            "fax_number": "740-333-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 RAWLINGS ST",
            "city": "WSHNGTN CT HS",
            "state": "OH",
            "postal_code": "431601985",
            "telephone_number": "740-333-7848",
            "fax_number": "740-333-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "CHESTER",
        "authorized_official_first_name": "TARKIO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "740-333-7848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC AND BS",
            "identifier": "000000380490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GRP-UNITED HEALTHCARE",
            "identifier": "696307",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2636839",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wshngtn CT HS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.