Ada Physical Therapy LLC
Organization Active NPI Physical Therapist · Ada, OH
NPI 1851902175 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1851902175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ADA PHYSICAL THERAPY LLC
- Practice address
- 1200 S Main St
Ada, OH 45810-2616 - Phone
- (567) 221-1021
- NPI assigned
- Aug 11, 2020
- Organization subpart
- No
Authorized official
- Name
- Tracy Scalfaro, PT
- Title
- Owner
- Phone
- (567) 221-1021
Practitioners 1
-
Tracy Scalfaro, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210216000943 | OH | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8123433646 |
Receives reassigned benefits from 1 practitioner Practice locations: Ada, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
1200 S Main St
Ada, OH 45810-2616
Mailing address
1200 S Main St
Ada, OH 45810-2616
Phone (567) 221-1021
Other providers in Ada, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.