Individual provider Active NPI

Nicholas Austin Untch, DPT

  • Physical Therapist
  • Powell, OH
National Provider Identifier
1851178578
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP042132T Issued in AZ
Practice address
10104 Brewster LN
Powell, OH 43065-7575
Phone
(614) 827-8390
NPI assigned
Sep 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020717 OH
Physical Therapist 225100000X CP042132T AZ Primary

Addresses

Primary practice location

10104 Brewster LN
Powell, OH 43065-7575

Mailing address

340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 545-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ, AK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231017002566 OH Practitioner - Physical Therapist in Private Practice 3577918143 Reassigns benefits to 1 organization
I20250320003950 AZ Practitioner - Physical Therapist in Private Practice 3577918143 Reassigns benefits to 1 organization
I20260526001585 AK Practitioner - Physical Therapist in Private Practice 3577918143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arctic Chiropractic and Physical Medicine KodiakGroup PAC ID 5294099495, 4 clinicians

Practice addresses (Care Compare)

372 Bayview Ave
Unalaska, AK 99685
Phone (907) 581-3550

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
89.85
Promoting interoperability
100
Improvement activities
40
Cost
78.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP042132TAZMDPhysical Therapist
PT020717OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation LLC Physical Therapist CurrentSince Feb 17, 2025 Accepting new patients
Orthopedic One, Inc CurrentSince Sep 19, 2023 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Feb 17, 2025 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Orthopedic One, Inc. CurrentSince Sep 19, 2023 Accepting new patients

Locations

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

2222 E Highland Ave
Ste 310
Phoenix, AZ 85016
Phone (602) 512-8550

9377 E Bell Rd
Ste 349
Scottsdale, AZ 85260
Phone (602) 313-1549

6200 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 664-2270

5500 N Meadows Dr
Grove City, OH 43123
Phone (614) 488-1816

10104 Brewster Ln
Powell, OH 43065
Phone (614) 827-8390

10104 Brewster Ln
Ste 180
Powell, OH 43065
Phone (614) 929-0463

4604 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 839-2300

4605 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 827-1050

340 Polaris Pkwy
Westerville, OH 43082
Phone (614) 839-2300

Organizations & group practices 7

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": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1851178578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10104 BREWSTER LN",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657575",
            "telephone_number": "614-827-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTCH",
        "first_name": "NICHOLAS",
        "middle_name": "AUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020717",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP042132T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.