SOUTHEAST OHIO SPORTS MEDICINE AND PHYSICAL THERAPY (NPI# 1649445438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649445438 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST OHIO SPORTS MEDICINE AND PHYSICAL THERAPY |
| Practice Address |
215 Columbus Rd Ste 101 Athens OH 45701-1335 |
| Practice Telephone | 7405926900 |
| Practice Fax Number | 7405933530 |
| Mailing Telephone | 7405926900 |
| Mailing Fax Number | 7405933530 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | JAMES W FERGUSON (PARTNER) |
| Authorized Official Telephone | 7405926900 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1284 | OH | Other Service Providers |
| Street Address |
215 COLUMBUS RD STE 101 |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881137479 | Lara Elizabeth Vaughn | Specialist | 1351 White Oak Dr, Athens, GA 30606-5211 | 2016-11-30 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1770947186 | Joshua Cahan Felts | Specialist | 5900 County Road 3704, Athens, TX 75752-5045 | 2016-04-12 |
| 1447666987 | Paul Dobbs | Specialist | 1002 E Pryor St, Athens, AL 35611-2160 | 2014-07-04 |
| 1699101105 | Cynthia A Czarnecki | Specialist | 105 Hamilton Rd, Athens, NY 12015-4912 | 2013-09-17 |
| 1780925560 | Julie E Kinsman | Specialist | 111 Old Hopkins St, Athens, PA 18810-1005 | 2013-03-04 |
| 1982960217 | Bruce A Townsend | Specialist | 1650 W Broad St, Athens, GA 30606-0001 | 2012-04-11 |
| 1144496662 | Basic Wellness Center, LLC | Specialist | 1190 Prince Ave, Lowr B, Athens, GA 30606-2769 | 2008-05-05 |
| 1922273655 | Center for Women's Health and Fitness, LLC | Specialist | 965 Hawthorne Ave, 100a, Athens, GA 30606-2139 | 2008-04-23 |
| 1003094160 | Paul A. Schwiger, M.d., P.C. | Specialist | 719 Cook Dr Ste 104, Athens, TN 37303-3495 | 2008-01-31 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on SOUTHEAST OHIO SPORTS MEDICINE AND PHYSICAL 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.