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SOUTHERN OHIO SPORTS MEDICINE AND PHYSICAL THERAPY
NPI 1700188463
Specialist in Peebles, OH

Active since November 30, 2010
118 RARDEN RD, PEEBLES, OH 45660(937) 587-9422(937) 587-9522 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Ohio Sports Medicine And Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN OHIO SPORTS MEDICINE AND PHYSICAL THERAPY (NPI 1700188463) is a healthcare organization registered as a specialist in Peebles, Ohio and active in the NPI registry since November 2010. The organization lists Melissa Mae Waddell, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1700188463
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN OHIO SPORTS MEDICINE AND PHYSICAL THERAPY
Location Address118 RARDEN RDPeebles, OH 45660-1049
Mailing Address118 Rarden RdPeebles, OH 45660-1049 · (937) 587-9422 · Fax (937) 587-9522
Phone(937) 587-9422
Fax(937) 587-9522
Organization SubpartNo
Authorized OfficialMelissa Mae WaddellPhysical Therapist · (937) 587-9422
Enumeration DateNovember 30, 2010
✔ NPI 1700188463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · PT 5740
Definition
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.
118 RARDEN RD, Peebles, OH 45660
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Other Names 1

Former Legal Business NameSouthern Ohio Sports Medicine And Physical Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MELISSA MAE WADDELL P.T.
Physical Medicine & Rehabilitation (Sports Medicine)
118 RARDEN RD
PEEBLES, OH 45660
Adams County (937) 587-9422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Ohio Sports Medicine And Physical Therapy's NPI number?

The NPI number for Southern Ohio Sports Medicine And Physical Therapy is 1700188463. It was assigned to this organization in the NPPES registry on November 30, 2010.

Where is Southern Ohio Sports Medicine And Physical Therapy located?

Southern Ohio Sports Medicine And Physical Therapy is located at 118 Rarden Rd, Peebles, OH 45660. The listed phone number is (937) 587-9422.

What is Southern Ohio Sports Medicine And Physical Therapy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Southern Ohio Sports Medicine And Physical Therapy accept?

Health plans from Molina Healthcare list Southern Ohio Sports Medicine And Physical Therapy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Ohio Sports Medicine And Physical Therapy was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.