John T Vanwey, PT

Individual provider Active NPI Sports Physical Therapist · Gambier, OH

NPI 1124463435 · NPPES record last updated May 1, 2013

Key facts

NPI
1124463435
Entity type
Individual (NPI type 1)
Primary specialty
Sports Physical Therapist 2251S0007X
License
PT013002 (OH)
Practice address
221 Duff St
Gambier, OH 43022-5013
Phone
(740) 427-5224
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
AT002867OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PT013002 OH Yes
Athletic Trainer 2255A2300X AT002867 OH

Addresses

Primary practice location

221 Duff St
Gambier, OH 43022-5013

Mailing address

5450 Frantz Rd Ste 250
Dublin, OH 43016-4141

Other providers in Gambier, OH

All providers in Gambier, OH · Sports Physical Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.