Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jordan Congleton , PTA

Physical Therapy Assistant • Fairborn, OH

Active NPI 1346934353 Individual Practitioner Female Practitioner
Practice location in NPPES

7774 Dayton Springfield Rd
Fairborn, OH 453241957

Call 9373406261 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7774 Dayton Springfield Rd

Fairborn, OH 453241957

Telephone 9373406261
Organization at the Same NPPES Address or Phone
Western Medicine, Inc. Facility NPI 1912970468

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fairborn and Ohio

6 active clinicians are listed under Physical Therapy Assistant with a practice address in Fairborn, OH (2,919 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-05
Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

License # reported to NPPES CA 52592

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Elizabeth Ater , PA-C

Physician Assistant

NPI 1801373709

Physician Assistant (Certified)

Dr. Jacob Dean , MD

Family Medicine

NPI 1932172467

Doctor of Medicine (M.D.)

Jennifer Dyer , FNP

Nurse Practitioner - Family

NPI 1326279373

Family Nurse Practitioner

Victoria Hase , PA-C

Physician Assistant

NPI 1467039578

Physician Assistant (Certified)

Trent Nourse , PA-C, MPAS

Physician Assistant

NPI 1821091455

Physician Assistant (Certified), MPAS

Dr. Kandarp Shah , MD

Internal Medicine - Gastroenterology

NPI 1801815352

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated June 05, 2023.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from June 2023 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1346934353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2023
Last Update: June 05, 2023
Sole Proprietor: No

Mailing Address

Po Box 3

South Vienna, OH 453690003

Phone: 9375611941

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.