Active NPI
Jason Alan Pedicini, D.P.T.
- Physical Therapist
- New Albany, OH
National Provider Identifier
1093820649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10550
- Practice address
- 5791 Zarley St
Suite B
New Albany, OH 43054-7090 - Phone
- (614) 519-6045
- Fax
- (614) 775-6105
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- 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 | PT10550 | OH | Primary |
Addresses
Primary practice location
5791 Zarley St
Suite B
New Albany, OH 43054-7090
Mailing address
5791 Zarley St
Suite B
New Albany, OH 43054-7090
Phone (614) 519-6045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT10550 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burkam & Associates, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Columbus, OH
- NPI 1306866819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1093820649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5791 ZARLEY ST",
"address_2": "SUITE B",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430547090",
"telephone_number": "614-519-6045",
"fax_number": "614-775-6105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5791 ZARLEY ST",
"address_2": "SUITE B",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430547090",
"telephone_number": "614-519-6045",
"fax_number": "614-775-6105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDICINI",
"first_name": "JASON",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT10550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.