NPIMap

Organization Active NPI

Ohio State University Medical Center

  • Physical Therapy Clinic/Center
  • Columbus, OH
National Provider Identifier
1073723276
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT09715 Issued in OH
Legal business name
OHIO STATE UNIVERSITY MEDICAL CENTER
Practice address
2050 Kenny Rd
Columbus, OH 43221-3502
Phone
(614) 293-2385
Fax
(614) 293-3066
NPI assigned
May 23, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Miss Melissa Faye Converse, PT, ATC
Title
Staff Physical Therapist
Phone
(614) 293-2385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT09715 OH Primary

Addresses

Primary practice location

2050 Kenny Rd
Columbus, OH 43221-3502

Mailing address

173 Macdougall LN
Blacklick, OH 43004-9317
Phone (614) 499-7100

National Provider Directory

National Provider Directory
Tax ID family
Ohio State University Medical Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1073723276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MACDOUGALL LN",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049317",
            "telephone_number": "614-499-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 KENNY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213502",
            "telephone_number": "614-293-2385",
            "fax_number": "614-293-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO STATE UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CONVERSE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "STAFF PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "614-293-2385",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT09715",
            "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 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.