Active NPI
Hybrid Therapy Services LLC
- Physical Therapist
- Columbus, OH
National Provider Identifier
1104309095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014066
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devee Sresthadatta, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.
-
- Physical Therapist
- Westerville, OH
- NPI 1316328073
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.