Individual provider Active NPI

Jessica Suzzanne Varble, DPT

  • Physical Therapist
  • Whitehall, OH
National Provider Identifier
1154403178
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012168 Issued in OH
Practice address
4738 Kae Ave
Whitehall, OH 43213-6100
Phone
(614) 417-5600
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 012168 OH Primary

Addresses

Primary practice location

4738 Kae Ave
Whitehall, OH 43213-6100

Mailing address

7371 Lawton St
Galena, OH 43021-7533
Phone (740) 359-3364

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL GALENA

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
012168OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1154403178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7371 LAWTON ST",
            "city": "GALENA",
            "state": "OH",
            "postal_code": "430217533",
            "telephone_number": "740-359-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4738 KAE AVE",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432136100",
            "telephone_number": "614-417-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARBLE",
        "first_name": "JESSICA",
        "middle_name": "SUZZANNE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GALENA",
            "affiliation": "N",
            "address_1": "4738 Kae Ave",
            "city": "Whitehall",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432136100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitehall, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.