Active NPI
Sandra E Marmaduke, DPT
- Physical Therapist
- Westerville, OH
National Provider Identifier
1043990245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020596
- Practice address
- 625 Africa Rd Ste 160
Westerville, OH 43082-9830 - Phone
- (614) 392-2812
- Fax
- (614) 392-2816
- NPI assigned
- Jul 21, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT020596 | OH | Primary |
Addresses
Primary practice location
625 Africa Rd Ste 160
Westerville, OH 43082-9830
Mailing address
625 Africa Rd Ste 160
Westerville, OH 43082-9830
Phone (614) 392-2812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.04 of 100
- Quality
- 85.5
- Improvement activities
- 40
- Cost
- 83.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT020596 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians Inc | Physical Therapist | Current | Accepting new patients |
| Central Ohio Primary Care Physicians, Inc. | Physical Therapist | Current | Accepting new patients |
| Central Ohio Primary Care Physicians, Inc. | Current | Accepting new patients |
Locations
4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665
655 Africa Rd
Westerville, OH 43082
625 Africa Rd
Ste 160
Westerville, OH 43082
Phone (614) 392-2771
Interoperability endpoints
- smarmaduke21723@copcp.medicity.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1194705194
Physical Therapist
-
- Hospitalist Physician
- Westerville, OH
- NPI 1518398866
Physical Therapist
-
- Clinical Medical Laboratory
- Westerville, OH
- NPI 1639279045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1043990245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 AFRICA RD STE 160",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430829830",
"telephone_number": "614-392-2812",
"fax_number": "614-392-2816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 AFRICA RD STE 160",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430829830",
"telephone_number": "614-392-2812",
"fax_number": "614-392-2816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARMADUKE",
"first_name": "SANDRA",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-21",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.