Individual provider Active NPI

Mac-Phuong Thi Ha, OTR/L, PTA, LMT

  • Occupational Therapist
  • Cincinnati, OH
National Provider Identifier
1841268380
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004675 Issued in OH
Practice address
3950 Red Bank Rd
Cincinnati, OH 45227-3429
Phone
(513) 272-4011
Fax
(513) 271-0172
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 01910 OH
Massage Therapist 225700000X 33-00-9596 OH
Occupational Therapist 225X00000X OT004675 OH Primary

Addresses

Primary practice location

3950 Red Bank Rd
Cincinnati, OH 45227-3429

Mailing address

4129 Clough LN
Cincinnati, OH 45245-1708

Other practice location 1

6480 Harrison Ave
Cincinnati, OH 45247-7961
Phone (513) 744-5214

Other practice location 2

8099 Cornell Rd
Cincinnati, OH 45249-2231
Phone (513) 985-2256

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

LicenseStateTypeSpecialty
01910OHMDPhysical Therapy Assistant
OT004675OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients
Rehabclinics SPT, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: macphuong.ha.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 2

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1841268380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 CLOUGH LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 RED BANK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273429",
            "telephone_number": "513-272-4011",
            "fax_number": "513-271-0172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6480 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452477961",
            "country_code": "US",
            "telephone_number": "513-744-5214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8099 Cornell Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452492231",
            "country_code": "US",
            "telephone_number": "513-985-2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "MAC-PHUONG",
        "middle_name": "THI",
        "credential": "OTR/L, PTA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "01910",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33-00-9596",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT004675",
            "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 Jun 11, 2024; 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.