Individual provider Active NPI

Michael J Chumley, PTA

  • Physical Therapy Assistant
  • Cincinnati, OH
National Provider Identifier
1881553725
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA009788 Issued in OH
Practice address
993 Vixen Dr
Cincinnati, OH 45245-2770
Phone
(859) 907-0392
NPI assigned
Jan 16, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X PTA009788 OH Primary

Addresses

Primary practice location

993 Vixen Dr
Cincinnati, OH 45245-2770

Mailing address

993 Vixen Dr
Cincinnati, OH 45245-2770
Phone (859) 907-0392

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

LicenseStateTypeSpecialty
PTA009788OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Home Care Past Accepting new patients
Dream Big Physical Therapuetics and Wellness Single Specialty PastSince Feb 12, 2023 Accepting new patients

Organizations & group practices 2

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": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1881553725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 VIXEN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452770",
            "telephone_number": "859-907-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 VIXEN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452770",
            "telephone_number": "859-907-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUMLEY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA009788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.