Organization Active NPI

Sole Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Columbus, OH
National Provider Identifier
1205470606
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOLE PHYSICAL THERAPY LLC
Practice address
1562 King Ave
Columbus, OH 43212-2124
Phone
(419) 376-6222
NPI assigned
Oct 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Eryn Eileen Simon, PT, DPTNPI 1033646146
Title
Owner
Phone
(419) 376-6222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1562 King Ave
Columbus, OH 43212-2124

Mailing address

1494 Ashland Ave
Columbus, OH 43212-2742
Phone (419) 376-6222

National Provider Directory

National Provider Directory

Locations

1562 King Ave
Columbus, OH 43212
Phone (419) 376-6222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1205470606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 ASHLAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122742",
            "telephone_number": "419-376-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 KING AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122124",
            "telephone_number": "419-376-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "ERYN",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-376-6222",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.