L Darrell Upp, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT06886 Issued in OH

Practice address

4995 Bradenton Ave
Suite 130
Dublin, OH 43017-3543

Phone

(614) 734-5000

Fax

(614) 734-5001

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205816147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 BRADENTON AVE",
            "address_2": "SUITE 130",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173543",
            "telephone_number": "614-734-5000",
            "fax_number": "614-734-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 BRADENTON AVE",
            "address_2": "SUITE 130",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173543",
            "telephone_number": "614-734-5000",
            "fax_number": "614-734-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPP",
        "first_name": "L",
        "middle_name": "DARRELL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT06886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Dublin, OH
• Providers in Dublin, OH by specialty
• Orthopedic Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.