Active NPI
Gregory James Vandegrift
- Physical Therapist
- Westerville, OH
National Provider Identifier
1205083094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6130
- Practice address
- 5686 Pocowillis CT
Westerville, OH 43081-8299 - Phone
- (614) 855-0191
- NPI assigned
- Aug 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6130 | OH | Primary |
Addresses
Primary practice location
5686 Pocowillis CT
Westerville, OH 43081-8299
Mailing address
5686 Pocowillis CT
Westerville, OH 43081-8299
Phone (614) 855-0191
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6130 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1205083094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5686 POCOWILLIS CT",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818299",
"telephone_number": "614-855-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5686 POCOWILLIS CT",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818299",
"telephone_number": "614-855-0191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEGRIFT",
"first_name": "GREGORY",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-22",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "6130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.