Individual provider Active NPI

Samuel E Arnold, DPT

  • Physical Therapist
  • Tiffin, OH
National Provider Identifier
1881174282
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017642 Issued in OK
Practice address
676 Miami St
Tiffin, OH 44883-1934
Phone
(419) 448-5533
Fax
(419) 448-5559
NPI assigned
Aug 16, 2018
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT017642 OK Primary

Addresses

Primary practice location

676 Miami St
Tiffin, OH 44883-1934

Mailing address

676 Miami St
Tiffin, OH 44883-1934
Phone (419) 448-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212002324 OH Practitioner - Physical Therapist in Private Practice 4183962491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3101 W US Hwy 224
Tiffin, OH 44883-8305
Phone (419) 448-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017642OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Ohio Orthopedics and Sports Medicine, Inc Multi-Specialty CurrentSince Jun 10, 2024 Accepting new patients
Northwest Ohio Orthopedics and Sports Medicine, Inc Multi-Specialty CurrentSince Jun 10, 2024 Accepting new patients
Fabrehab Services, LLC PastSince Jan 1, 2019 Accepting new patients

Locations

7595 County Road 236
Findlay, OH 45840
Phone (419) 427-3104

3101 W US Highway 224
Tiffin, OH 44883
Phone (419) 443-1429

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1881174282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 MIAMI ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831934",
            "telephone_number": "419-448-5533",
            "fax_number": "419-448-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 MIAMI ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831934",
            "telephone_number": "419-448-5533",
            "fax_number": "419-448-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "SAMUEL",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT017642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.