Individual provider Active NPI

Andrew Raschke, PT

  • Physical Therapist
  • Toledo, OH
National Provider Identifier
1942629209
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
.014342 Issued in OH
Practice address
4210 W Sylvania Ave
Suit 102
Toledo, OH 43623-4500
Phone
(419) 559-5591
Fax
(866) 268-5006
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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 .014342 OH Primary

Addresses

Primary practice location

4210 W Sylvania Ave
Suit 102
Toledo, OH 43623-4500

Mailing address

4210 W Sylvania Ave
Suit 102
Toledo, OH 43623-4500
Phone (419) 559-5591

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
.014342OHMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1942629209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 W SYLVANIA AVE",
            "address_2": "SUIT 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234500",
            "telephone_number": "419-559-5591",
            "fax_number": "866-268-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 W SYLVANIA AVE",
            "address_2": "SUIT 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234500",
            "telephone_number": "419-559-5591",
            "fax_number": "866-268-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCHKE",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": ".014342",
            "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 Apr 15, 2014; 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.