Active NPI
Michael Jahn
- Physical Therapy Assistant
- Toledo, OH
National Provider Identifier
1841902400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA012102
- Practice address
- 1983 Roselawn Dr
Toledo, OH 43611-1725 - Phone
- (419) 779-5344
- NPI assigned
- Dec 14, 2022
- Last updated
- Dec 14, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA012102 | OH | Primary |
Addresses
Primary practice location
1983 Roselawn Dr
Toledo, OH 43611-1725
Mailing address
5076 Otterbein Way
Monclova, OH 43542-8500
Other practice location 1
7025 Ramblehurst Rd
Sylvania, OH 43560-3573
Phone (419) 841-7609
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA012102 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1841902400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5076 OTTERBEIN WAY",
"city": "MONCLOVA",
"state": "OH",
"postal_code": "435428500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1983 ROSELAWN DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436111725",
"telephone_number": "419-779-5344"
}
],
"practiceLocations": [
{
"address_1": "7025 Ramblehurst Rd",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "OH",
"postal_code": "435603573",
"country_code": "US",
"telephone_number": "419-841-7609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAHN",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-14",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA012102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.