MIDWEST SPORTS THERAPY (NPI# 1982721171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982721171 |
| Entity Type | Organization |
| Organization Name | MIDWEST SPORTS THERAPY |
| Practice Address |
4453 State Route 159 Chillicothe OH 45601-8620 |
| Practice Telephone | 7407757722 |
| Practice Fax Number | 7407757732 |
| Mailing Telephone | 7407757722 |
| Mailing Fax Number | 7407757732 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIAN J FULLER (DIRECTOR) |
| Authorized Official Telephone | 7407757722 |
| 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 |
4453 STATE ROUTE 159 |
| City | CHILLICOTHE |
| State | OH |
| Zip Code | 45601-8620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730174160 | Brian J Fuller | Physical Therapist | 4453 State Route 159, Chillicothe, OH 45601-8620 | 2005-09-12 |
| 1811908833 | James L Wickham | Specialist | 4453 State Route 159, Chillicothe, OH 45601-8620 | 2006-08-11 |
| 1649208877 | Melinda Jayne Taylor | Specialist/Technologist | 4453 State Route 159, Chillicothe, OH 45601-8620 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
| 1831799741 | Cheyianna Hammond | Pharmacist | 85 River Trace, Chillicothe, OH 45601 | 2020-10-29 |
| 1326653932 | Tabitha Shoemaker | Social Worker | 18-20 E 2nd Street, Chillicothe, OH 45601 | 2020-09-10 |
| 1710596937 | Carly Rainey | Pharmacist | 17273 Sr-104, Chillicothe, OH 45601 | 2020-07-23 |
| 1821639386 | Samuel Ethan Henry | Physician Assistant | 17273 Oh 104, Chillicothe, OH 45601 | 2019-10-04 |
| 1881255040 | Brian Andrew Ice | Nurse Practitioner | 4437 Sr 159, Pavillion Ste 125, Chillicothe, OH 45601 | 2019-06-27 |
| 1770053332 | Dwayne Allan Webb | Home Health Aide | 16 N High St, Chillicothe, OH 45601 | 2018-11-27 |
| 1588148902 | Kristine Ann Oberlin | Social Worker | 16149 Oh-104, Chillicothe, OH 45601 | 2018-09-21 |
| 1730674904 | Christopher Lee Davis | Case Manager/Care Coordinator | 312 East 2nd Street, Chillicothe, OH 45601 | 2018-06-28 |
| 1942794201 | Nettie Vanhoy | Counselor | 220 North Plaza Boulavard, Chillicothe, OH 45601 | 2018-06-20 |
| Find all providers in zip 45601 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013191741 | Motus Concepts, LLC | Clinic/Center | 14 S Paint St, Chillicothe, OH 45601-3203 | 2007-12-17 |
| 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 | ||||
| City | CHILLICOTHE |
| Zip Code | 45601 |
Please comment or provide details below to improve the information on MIDWEST SPORTS THERAPY.
| 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.