PROACTIV PHYSICAL THERAPY (NPI# 1700424942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700424942 |
| Entity Type | Organization |
| Organization Name | PROACTIV PHYSICAL THERAPY |
| Practice Address |
8124 Road M Ottawa OH 45875-9544 |
| Practice Telephone | 4199694294 |
| Mailing Telephone | 4199694294 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |
| Authorized Official Name | MATTHEW RECKER (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4199694294 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
8124 ROAD M |
| City | OTTAWA |
| State | OH |
| Zip Code | 45875-9544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568970077 | Challenged Champions Equestrian Center, Inc. | Clinic/Center | 11913 Road 6, Ottawa, OH 45875 | 2018-01-18 |
| 1831602119 | County of Putnam Office of Auditor | Physical Medicine & Rehabilitation | 575 Ottawa Glandorf Rd Ste 3, Ottawa, OH 45875 | 2017-11-09 |
| 1972908069 | Trilogy Healthcare of Putnam II, LLC | Skilled Nursing Facility | 147 Putnam Parkway, Ottawa, OH 45875 | 2014-10-31 |
| 1669771291 | Beth Ann Jensen | Occupational Therapist | 1880 N. Perry Street, Ste 100, Ottawa, OH 45875 | 2011-03-22 |
| 1124329172 | Donald J. Schmidt, D.c. Inc. | Chiropractor | 139 S. Walnut St., Ottawa, OH 45875 | 2010-11-08 |
| 1700196433 | Andrew Michael Miller | Physical Therapist | 27511 Holiday Ln # 105, Perrysburg, OH 45875 | 2010-10-15 |
| 1639342603 | Atheena Dawn Walters Niese | Massage Therapist | 207 Blanchard Avenue, Ottawa, OH 45875 | 2008-04-10 |
| 1346442035 | Carla Mae Utendorf | Licensed Practical Nurse | 10129 Twp Rd 8, Ottawa, OH 45875 | 2007-06-04 |
| 1669687703 | Kathleen E Stinson | Home Health Aide | 8150 Road 15, Ottawa, OH 45875 | 2007-05-11 |
| 1124114939 | John B Hicks | Specialist/Technologist | 1880 N Perry Street Suite 100, Ottawa, OH 45875 | 2006-10-05 |
| Find all providers in zip 45875 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013514 | Dunamis Performance & Physio LLC | Clinic/Center | 115 Mountview Ct, Mount Sterling, OH 43143-1220 | 2020-11-02 |
| 1710592639 | Goal Physical Therapy and Wellness, LLC | Clinic/Center | 427 W Dussel Dr # 295, Maumee, OH 43537-4208 | 2020-09-09 |
| 1942813829 | Fit 4 Life Physical Therapy | Clinic/Center | 7575 Fredle Dr Ste B2, Concord Twp, OH 44077-9413 | 2020-08-28 |
| 1972113462 | Restorative Physical Therapy Co | Clinic/Center | 4770 Indianola Ave Ste 102, Columbus, OH 43214-1862 | 2020-08-09 |
| 1588273825 | Tremont Functional Rehab, LLC | Clinic/Center | 2401 Scranton Rd, Cleveland, OH 44113-4313 | 2020-07-22 |
| 1700402633 | Fusion Home Therapy LLC | Clinic/Center | 3556 Magnolia Dr, Seven Hills, OH 44131-5146 | 2020-06-16 |
| 1528680410 | Resilience Pelvic Physical Therapy and Wellness | Clinic/Center | 17 Pinewood Ln, Hudson, OH 44236-3467 | 2020-05-13 |
| 1023644432 | Bridge Pt, LLC | Clinic/Center | 3748 Sr-7, Optional, Chesapeake, OH 45619 | 2020-03-17 |
| 1518599786 | Meghan E Jackson | Clinic/Center | 781 Bayridge Blvd, Willowick, OH 44095-4241 | 2020-02-06 |
| 1760022735 | Physical Therapy 212, LLC | Clinic/Center | 10 N Market St Ste D, Troy, OH 45373-3281 | 2020-01-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.