Active NPI
Jessica Root, DPT
- Physical Therapist
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.022656
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.022656 | IL | MD | Physical Therapist |
| PT017752 | OH | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohrh, LLC | Current | Accepting new patients | |
| Ohrh, LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Grove City, OH
- NPI 1770060212
-
- Physical Therapy Clinic/Center
- Columbus, OH
- NPI 1073090510
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1033723101
-
- Physical Therapy Clinic/Center
- Chicago, IL
- NPI 1063417046
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.