Individual provider Active NPI

Ryan Scott Gephart, PT

  • Physical Therapist
  • Lebanon, OH
National Provider Identifier
1164715082
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8553 Issued in OH
Practice address
373 Leather Leaf LN
Lebanon, OH 45036-7792
Phone
(513) 260-8966
NPI assigned
May 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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 8553 OH Primary

Addresses

Primary practice location

373 Leather Leaf LN
Lebanon, OH 45036-7792

Mailing address

373 Leather Leaf LN
Lebanon, OH 45036-7792
Phone (513) 260-8966

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200519003165 OH Practitioner - Physical Therapist in Private Practice 6103257597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outpatient at Home LLCGroup PAC ID 6204248784, 38 clinicians

Practice addresses (Care Compare)

965 High St
Worthington, OH 43085-4057
Phone (614) 327-2362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8553OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient at Home LLC Physical Therapist CurrentSince Feb 5, 2021 Accepting new patients
Columbus Physical Therapy, LLC Physical Therapist PastSince Feb 5, 2021 Accepting new patients

Locations

965 High St
Worthington, OH 43085
Phone (614) 327-2362

Organizations & group practices 2

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1164715082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 LEATHER LEAF LN",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367792",
            "telephone_number": "513-260-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 LEATHER LEAF LN",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367792",
            "telephone_number": "513-260-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEPHART",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "8553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.