Active NPI
Jermane Vail, REHS/RS, ACSM CEP
- Clinical Exercise Physiologist
- Columbus, OH
National Provider Identifier
1033803564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- License
- 768330
- Practice address
- 3678 Easton Loop W
Columbus, OH 43219-6016 - Phone
- (234) 283-0309
- NPI assigned
- Jun 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | 768330 | Primary |
Addresses
Primary practice location
3678 Easton Loop W
Columbus, OH 43219-6016
Mailing address
PO Box 1872
Youngstown, OH 44501-1872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1033803564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1872",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445011872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3678 EASTON LOOP W",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196016",
"telephone_number": "234-283-0309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAIL",
"first_name": "JERMANE",
"credential": "REHS/RS, ACSM CEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": "768330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.