Active NPI
Michael Newman, ATC, PTA
- Athletic Trainer
- Westerville, OH
National Provider Identifier
1932727500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT003890
- Practice address
- 136 Ashton Village Dr Apt 201
Westerville, OH 43082-7540 - Phone
- (513) 535-7722
- NPI assigned
- Jul 10, 2020
- Last updated
- Jul 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA012094 | OH | |
| Athletic Trainer | 2255A2300X | AT003890 | OH | Primary |
Addresses
Primary practice location
136 Ashton Village Dr Apt 201
Westerville, OH 43082-7540
Mailing address
136 Ashton Village Dr Apt 201
Westerville, OH 43082-7540
Other practice location 1
625 Africa Rd
Westerville, OH 43082-9814
Phone (614) 326-2672
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA012094 | OH | MD | Physical Therapy Assistant |
| AT003890 | OH | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | Past | Accepting new patients | |
| Radiology Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1194705194
-
- Diagnostic Radiology Physician
- Dublin, OH
- NPI 1609865708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1932727500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 ASHTON VILLAGE DR APT 201",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 ASHTON VILLAGE DR APT 201",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827540",
"telephone_number": "513-535-7722"
}
],
"practiceLocations": [
{
"address_1": "625 Africa Rd",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430829814",
"country_code": "US",
"telephone_number": "614-326-2672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWMAN",
"first_name": "MICHAEL",
"credential": "ATC, PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-10",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA012094",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT003890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.