Individual provider Active NPI

Jessica Root, DPT

  • Physical Therapist
  • Westerville, OH
National Provider Identifier
1104375039
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.022656 Issued in IL
Practice address
300 Polaris Pkwy
Westerville, OH 43082-7989
Phone
(614) 776-0970
Fax
(614) 212-4900
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT017752 OH
Physical Therapist 225100000X 070.022656 IL Primary

Addresses

Primary practice location

300 Polaris Pkwy
Westerville, OH 43082-7989

Mailing address

91 Howard Ave Unit 1
Worthington, OH 43085-3652
Phone (937) 604-7628

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 614-212-4900 Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703001831 OH Practitioner - Physical Therapist in Private Practice 2365776853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohrh, LLCGroup PAC ID 5991942898, 154 clinicians

Practice addresses (Care Compare)

300 Polaris Pkwy
Suite 160
Westerville, OH 43082-7989
Phone (614) 776-0970

6021 Cleveland Ave
Columbus, OH 43231-2256
Phone (740) 615-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.022656ILMDPhysical Therapist
PT017752OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohrh, LLC CurrentSince May 11, 2019 Accepting new patients
Ohrh, LLC Physical Therapist CurrentSince May 11, 2019 Accepting new patients
Ohrh, LLC Current Accepting new patients
Rci (WRS), LLC. Past Accepting new patients
TJ Corporation I LLC Past Accepting new patients

Locations

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

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

6024 Hoover Rd
Ste D
Grove City, OH 43123
Phone (614) 871-3832

300 Polaris Pkwy
Westerville, OH 43082
Phone (614) 533-3000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1104375039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 HOWARD AVE UNIT 1",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853652",
            "telephone_number": "937-604-7628",
            "fax_number": "614-212-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827989",
            "telephone_number": "614-776-0970",
            "fax_number": "614-212-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT017752",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "614-212-4900",
            "affiliation": "N",
            "endpointDescription": "Fax Number at facility",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Secure Patient Information",
            "address_1": "300 Polaris Pkwy",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430827989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.