Active NPI
Jillian Ann Althoff, ATC
- Athletic Trainer
- Columbus, OH
National Provider Identifier
1265460802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-2199
- Practice address
- 1550 W 5TH Ave
Columbus, OH 43212-2495 - Phone
- (614) 488-7929
- Fax
- (614) 488-5792
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-2199 | OH | Primary |
Addresses
Primary practice location
1550 W 5TH Ave
Columbus, OH 43212-2495
Mailing address
3742 Wagner CT
Grove City, OH 43123-2448
Phone (614) 801-5656
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 |
|---|---|---|---|
| AT-2199 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1265460802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3742 WAGNER CT",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431232448",
"telephone_number": "614-801-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 W 5TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432122495",
"telephone_number": "614-488-7929",
"fax_number": "614-488-5792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTHOFF",
"first_name": "JILLIAN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT-2199",
"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 Sep 8, 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.