Organization Active NPI

Hybrid Therapy Services LLC

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1104309095
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014066 Issued in OH
Legal business name
HYBRID THERAPY SERVICES LLC
Practice address
1505 Delashmut Ave
Columbus, OH 43212-2641
Phone
(740) 816-0155
NPI assigned
Sep 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Devee Sresthadatta, DPTNPI 1316328073
Title
Owner
Phone
(740) 816-0155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 014066 OH Primary

Addresses

Primary practice location

1505 Delashmut Ave
Columbus, OH 43212-2641

Mailing address

6636 Heatherstone Cir
Dublin, OH 43017-5235
Phone (740) 816-0155

National Provider Directory

National Provider Directory

Locations

1505 Delashmut Ave
Columbus, OH 43212
Phone (740) 816-0155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1104309095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 HEATHERSTONE CIR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175235",
            "telephone_number": "740-816-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 DELASHMUT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122641",
            "telephone_number": "740-816-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYBRID THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "SRESTHADATTA",
        "authorized_official_first_name": "DEVEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-816-0155",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "014066",
            "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 Sep 7, 2018; 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.