Individual provider Active NPI

Marianne Gradisar

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1073623617
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
738 Bethel Rd
Columbus, OH 43214-1902
Phone
(614) 459-9409
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 Primary

Addresses

Primary practice location

738 Bethel Rd
Columbus, OH 43214-1902

Mailing address

2714 Chester Rd
Upper Arlington, OH 43221-3328
Phone (614) 486-0667

Other identifiers 1

IdentifierTypeStateIssuer
PT 005601OtherOHLICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181226002291 OH Practitioner - Physical Therapist in Private Practice 6709159767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohrh, LLCGroup PAC ID 5991942898, 154 clinicians

Practice addresses (Care Compare)

783 Bethel Rd
Columbus, OH 43214-1901
Phone (740) 615-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

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

Locations

783 Bethel Rd
Columbus, OH 43214
Phone (614) 459-9409

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

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073623617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 CHESTER RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432213328",
            "telephone_number": "614-486-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141902",
            "telephone_number": "614-459-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADISAR",
        "first_name": "MARIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT 005601",
            "state": "OH"
        }
    ],
    "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.