Tracy T Agbunag, DPT
Individual provider Active NPI Physical Therapist · Westerville, OH
NPI 1003880949 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1003880949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT012627 (OH)
- Practice address
- 340 Polaris Pkwy
Westerville, OH 43082-7971 - Phone
- (614) 839-2300
- Fax
- (614) 839-2301
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedic One, Inc.
Practice addresses (Care Compare)
340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 839-2300
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.64 of 100
- Quality
- 89.85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190726002062 | OH | Practitioner - Physical Therapist in Private Practice | 9032445127 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012627 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic One, Inc | Current |
Accepting new patients | |
| Orthopedic One, Inc | Current |
Accepting new patients | |
| Orthopedic One, Inc. | Current | Accepting new patients |
Locations
4604 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 839-2300
340 Polaris Pkwy
Westerville, OH 43082
Phone (614) 839-2300
Interoperability endpoints
- tagbunag@orthopedicone.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012627 | OH | Yes |
Addresses
Primary practice location
340 Polaris Pkwy
Westerville, OH 43082-7971
Mailing address
340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 839-2300
Other providers in Westerville, OH
- Afrikconnect Inc.
- After the Storm Counseling LLC
- Muhammad R. Afzal
- Agape Christian Counseling Center
- Emmanuel Agbo Agbitor
- Ageless Counseling & Wellness
- Ages Group LLC
- Annina Agriesti
- Martha Maria Aguila
- Joseph C Agunobi
All providers in Westerville, OH · Physical Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.