Individual provider Active NPI

Teresa S Badenhop, PT

  • Physical Therapist
  • Toledo, OH
National Provider Identifier
1891981965
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005751 Issued in OH
Practice address
4041 W Sylvania Ave
Suite102
Toledo, OH 43623-4465
Phone
(419) 471-0400
Fax
(419) 471-0403
NPI assigned
Sep 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005751 OH Primary

Addresses

Primary practice location

4041 W Sylvania Ave
Suite102
Toledo, OH 43623-4465

Mailing address

500 Water St
Pemberville, OH 43450-9463
Phone (419) 287-4801

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
005751OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Koop Family Physical Therapy LLC Physical Therapist PastSince Dec 1, 2006 Accepting new patients

Organizations & group practices 1

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": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1891981965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WATER ST",
            "city": "PEMBERVILLE",
            "state": "OH",
            "postal_code": "434509463",
            "telephone_number": "419-287-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 W SYLVANIA AVE",
            "address_2": "SUITE102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234465",
            "telephone_number": "419-471-0400",
            "fax_number": "419-471-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADENHOP",
        "first_name": "TERESA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "005751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.