Southern Ohio Sports Medicine and Physical Therapy
NPI 1700188463 · Specialist · Peebles, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Ohio Sports Medicine and Physical Therapy is a Specialist organization in Peebles, OH (NPI 1700188463).
Provider details
- NPI number
- 1700188463
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Melissa Waddell, Physical Therapist(937) 587-9422
- License
- PT 5740 (OH)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Southern Ohio Sports Medicine and Physical Therapy
Registry dates
- Enumerated
- 2010-11-30
- Last updated
- 2010-11-30
Frequently asked questions
- What is Southern Ohio Sports Medicine and Physical Therapy's NPI number?
- Southern Ohio Sports Medicine and Physical Therapy's National Provider Identifier (NPI) is 1700188463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Ohio Sports Medicine and Physical Therapy?
- Southern Ohio Sports Medicine and Physical Therapy is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Southern Ohio Sports Medicine and Physical Therapy located?
- Southern Ohio Sports Medicine and Physical Therapy's practice location on file with NPPES is 118 Rarden Rd, Peebles, OH 45660-1049.
- What is Southern Ohio Sports Medicine and Physical Therapy's phone number?
- The practice phone number listed in the NPPES registry for Southern Ohio Sports Medicine and Physical Therapy is (937) 587-9422.
- Does Southern Ohio Sports Medicine and Physical Therapy accept Medicare?
- Southern Ohio Sports Medicine and Physical Therapy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Ohio Sports Medicine and Physical Therapy?
- The authorized official listed on Southern Ohio Sports Medicine and Physical Therapy's NPPES record is Melissa Waddell, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Ohio Sports Medicine and Physical Therapy's NPI active?
- Yes — Southern Ohio Sports Medicine and Physical Therapy's NPI (1700188463) is active in the NPPES registry as of the last update on 2010-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.