Individual provider Active NPI

Anna Patitucci, P.T.

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1073060489
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016316 Issued in OH
Practice address
7710 Olentangy River Rd Ste 100
Columbus, OH 43235-1353
Phone
(614) 841-3900
Fax
(614) 841-3930
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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 016316 OH Primary

Addresses

Primary practice location

7710 Olentangy River Rd Ste 100
Columbus, OH 43235-1353

Mailing address

11177 Lambs LN
Newark, OH 43055-9779
Phone (740) 763-0408

Other practice location 1

164 Wetherby Ln
Westerville, OH 43081-4957
Phone (614) 841-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101001617 OH Practitioner - Physical Therapist in Private Practice 3779861497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fitness Matters Inc.Group PAC ID 3375799919, 30 clinicians

Practice addresses (Care Compare)

164 Wetherby LN
Westerville, OH 43081-4957
Phone (614) 841-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016316OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Matters Inc. CurrentSince Jan 1, 2019 Accepting new patients
Licking Rehabilitation Services Inc Physical Therapist CurrentSince Sep 14, 2016 Accepting new patients
Licking Rehabilitation Services, Inc Past Accepting new patients
Rehabilitative Associates Inc Physical Therapist Past Accepting new patients

Locations

7710 Olentangy River Rd
Columbus, OH 43235
Phone (614) 841-3900

777 W State St
Ste 302
Columbus, OH 43222
Phone (614) 221-2299

7710 Olentangy River Rd
Ste 100
Columbus, OH 43235
Phone (614) 841-3900

1393 Dublin Rd
Columbus, OH 43215
Phone (614) 487-9715

159 W Main St
Newark, OH 43055
Phone (740) 344-2984

11171 Lambs Ln
Newark, OH 43055

164 Wetherby Ln
Westerville, OH 43081
Phone (614) 392-1880

Organizations & group practices 4

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1073060489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11177 LAMBS LN",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559779",
            "telephone_number": "740-763-0408",
            "fax_number": "740-763-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 OLENTANGY RIVER RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351353",
            "telephone_number": "614-841-3900",
            "fax_number": "614-841-3930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Wetherby Ln",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430814957",
            "country_code": "US",
            "telephone_number": "614-841-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATITUCCI",
        "first_name": "ANNA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "016316",
            "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 Oct 12, 2022; 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.