Active NPI
Stephanie Lyn Arend, PT
- Physical Therapist
- Paulding, OH
National Provider Identifier
1902935976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT06772
- Practice address
- 835 N Williams St
Paulding, OH 45879-1064 - Phone
- (419) 399-4143
- NPI assigned
- Mar 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT06772 | OH | Primary |
Addresses
Primary practice location
835 N Williams St
Paulding, OH 45879-1064
Mailing address
11010 Road 60
Haviland, OH 45851-9620
Phone (419) 238-0715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2412348 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902935976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11010 ROAD 60",
"city": "HAVILAND",
"state": "OH",
"postal_code": "458519620",
"telephone_number": "419-238-0715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 N WILLIAMS ST",
"city": "PAULDING",
"state": "OH",
"postal_code": "458791064",
"telephone_number": "419-399-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AREND",
"first_name": "STEPHANIE",
"middle_name": "LYN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT06772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2412348",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paulding, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.