Individual provider Active NPI

Michelle Koval

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1902232150
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012735 Issued in OH
Practice address
3950 Red Bank Rd
Cincinnati, OH 45227-3429
Phone
(513) 246-8840
Fax
(513) 246-8841
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12454-24 WI
Physical Therapist 225100000X PT012735 OH Primary

Addresses

Primary practice location

3950 Red Bank Rd
Cincinnati, OH 45227-3429

Mailing address

600 Highland Ave
MC 2433
Madison, WI 53792-1530
Phone (608) 662-0817

Other practice location 1

600 Highland Ave
MC 2433
Madison, WI 53792-1530
Phone (608) 662-0817

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
PT012735OHMDPhysical Therapist
12454-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pillar Pelvic Health and Physical Therapy LLC Physical Therapist Current 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": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1902232150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "MC 2433",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537921530",
            "telephone_number": "608-662-0817",
            "fax_number": "608-203-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 RED BANK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273429",
            "telephone_number": "513-246-8840",
            "fax_number": "513-246-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highland Ave",
            "address_2": "MC 2433",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537921530",
            "country_code": "US",
            "telephone_number": "608-662-0817",
            "fax_number": "608-203-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12454-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT012735",
            "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 Feb 19, 2020; 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.