Individual provider Active NPI

Darrell William Hewko, PT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1821586967
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-7405 Issued in OH
Practice address
4452 Eastgate Blvd Ste 101
Cincinnati, OH 45245-1584
Phone
(513) 977-2153
Fax
(513) 888-8784
NPI assigned
Apr 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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 PT-7405 OH Primary

Addresses

Primary practice location

4452 Eastgate Blvd Ste 101
Cincinnati, OH 45245-1584

Mailing address

4452 Eastgate Blvd
Cincinnati, OH 45245-1584
Phone (513) 977-2153

Other practice location 1

1640 Tatum Ln
Hamilton, OH 45013-4501
Phone (513) 896-1783

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
PT-7405OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1821586967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 EASTGATE BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451584",
            "telephone_number": "513-977-2153",
            "fax_number": "513-888-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 EASTGATE BLVD STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451584",
            "telephone_number": "513-977-2153",
            "fax_number": "513-888-8784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Tatum Ln",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450134501",
            "country_code": "US",
            "telephone_number": "513-896-1783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEWKO",
        "first_name": "DARRELL",
        "middle_name": "WILLIAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-7405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.