Active NPI
Jacob Depp
- Physical Therapist
- Lewis Center, OH
National Provider Identifier
1235017518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015486
- Practice address
- 6515 Pullman Dr Ste 2100
Lewis Center, OH 43035-7381 - Phone
- (440) 366-2453
- NPI assigned
- Aug 25, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 015486 | OH | Primary |
Addresses
Primary practice location
6515 Pullman Dr Ste 2100
Lewis Center, OH 43035-7381
Mailing address
133 Beech CT
Delaware, OH 43015-3240
Phone (440) 813-7986
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 |
|---|---|---|---|
| 015486 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1235017518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 BEECH CT",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430153240",
"telephone_number": "440-813-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6515 PULLMAN DR STE 2100",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430357381",
"telephone_number": "440-366-2453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPP",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "015486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewis Center, OH
- Delaware County Board of Mental Retardation & Developmental Disabiliti
- Delaware Pediatric Dentistry - Sachin S. Parulkar, D.D.S., L.L.C.
- Delmore Counseling, LLC
- Myra Joy Dempsey, PC-CR
- Caitlin Conway Dennis, SLP
- Macy Deter, M.A. SLP
- Lauren Elizabeth Dill, FNP-BC
- Brendan Dimond
- Discount Drug Mart Inc
- Marian Djan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.