Individual provider Active NPI

Michael Jay Boyer, MPT

  • Physical Therapist
  • Deshler, OH
National Provider Identifier
1861647554
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012782 Issued in OH
Practice address
3816 County Road C
Deshler, OH 43516-9758
Phone
(141) 990-6108
Fax
(419) 278-0072
NPI assigned
Nov 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 012782 OH Primary
Physical Therapist 225100000X 11848 NC

Addresses

Primary practice location

3816 County Road C
Deshler, OH 43516-9758

Mailing address

3816 County Road C
Deshler, OH 43516-9758
Phone (141) 990-6108

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
11848NCMDPhysical Therapist
012782OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Town Health Care LLC CurrentSince Sep 26, 2017 Accepting new patients
Peak Performance Sports and Physical Therapy, LLC Single Specialty PastSince May 31, 2019 Accepting new patients
Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. Single Specialty PastSince Jul 12, 2010 Accepting new patients

Organizations & group practices 3

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": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1861647554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 COUNTY ROAD C",
            "city": "DESHLER",
            "state": "OH",
            "postal_code": "435169758",
            "telephone_number": "141-990-6108",
            "fax_number": "419-278-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 COUNTY ROAD C",
            "city": "DESHLER",
            "state": "OH",
            "postal_code": "435169758",
            "telephone_number": "141-990-6108",
            "fax_number": "419-278-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-21",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012782",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11848",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deshler, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.