Individual provider Active NPI

James B Wilgus, P.T.

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1053520965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7078 Issued in OH
Practice address
6200 Cleveland Ave
Columbus, OH 43231-8608
Phone
(614) 566-0566
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7078 OH Primary

Addresses

Primary practice location

6200 Cleveland Ave
Columbus, OH 43231-8608

Mailing address

4162 Berryfield Dr
Gahanna, OH 43230-5102
Phone (614) 566-0566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010003647 OH Practitioner - Physical Therapist in Private Practice 0648522128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohrh, LLCGroup PAC ID 5991942898, 154 clinicians

Practice addresses (Care Compare)

323 E Town St
Suite 1040
Columbus, OH 43215-4774
Phone (740) 615-1800

5650 N Hamilton Rd
Columbus, OH 43230-1324
Phone (614) 855-8030

6021 Cleveland Ave
Columbus, OH 43231-2256
Phone (740) 615-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7078OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ohrh LLC CurrentSince Nov 1, 2018 Accepting new patients
Ohrh, LLC Current Accepting new patients
Ohrh, LLC Physical Therapist CurrentSince Nov 1, 2018 Accepting new patients

Locations

6021 Cleveland Ave
Columbus, OH 43231
Phone (614) 224-1090

300 Polaris Pkwy
Westerville, OH 43082
Phone (614) 533-3000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053520965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4162 BERRYFIELD DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305102",
            "telephone_number": "614-566-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432318608",
            "telephone_number": "614-566-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILGUS",
        "first_name": "JAMES",
        "middle_name": "B",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "7078",
            "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 Jul 8, 2007; 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.

Verify at the official NPI Registry.