Active NPI
Joshua Scott Addis, PT, DPT
- Physical Therapist
- Chesapeake, OH
National Provider Identifier
1831276369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019658
- Practice address
- 129 3Rd Ave
Chesapeake, OH 45619-1140 - Phone
- (740) 550-4128
- Fax
- (740) 422-0516
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA A02112 | KY | |
| Physical Therapy Assistant | 225200000X | PTA 05947 | OH | |
| Physical Therapist | 225100000X | PT019658 | OH | Primary |
Addresses
Primary practice location
129 3Rd Ave
Chesapeake, OH 45619-1140
Mailing address
PO Box 24
Chesapeake, OH 45619-0024
Phone (740) 550-4128
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT019658 | OH | MD | Physical Therapist |
| PTA A02112 | KY | MD | Physical Therapy Assistant |
| PTA 05947 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1831276369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24",
"city": "CHESAPEAKE",
"state": "OH",
"postal_code": "456190024",
"telephone_number": "740-550-4128",
"fax_number": "740-422-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 3RD AVE",
"city": "CHESAPEAKE",
"state": "OH",
"postal_code": "456191140",
"telephone_number": "740-550-4128",
"fax_number": "740-422-0516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDIS",
"first_name": "JOSHUA",
"middle_name": "SCOTT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "PTA A02112",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA 05947",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT019658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.