Individual provider Active NPI

Emily Petro, DPT

  • Physical Therapist
  • Delaware, OH
National Provider Identifier
1265709455
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018499 Issued in OH
Practice address
7853 Pacer Dr Ste 3C
Delaware, OH 43015-7571
Phone
(740) 513-4847
Fax
(740) 513-2322
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01420800 NJ
Physical Therapist 225100000X 005887 KY
Physical Therapist 225100000X PT018499 OH Primary

Addresses

Primary practice location

7853 Pacer Dr Ste 3C
Delaware, OH 43015-7571

Mailing address

7853 Pacer Dr Ste 3C
Delaware, OH 43015-7571
Phone (740) 513-4847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190225001773 KY Practitioner - Physical Therapist in Private Practice 2163761891 Reassigns benefits to 1 organization
I20200824001220 OH Practitioner - Physical Therapist in Private Practice 2163761891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohrh, LLCGroup PAC ID 5991942898, 154 clinicians

Practice addresses (Care Compare)

7853 Pacer Dr
FL 3
Delaware, OH 43015-7571
Phone (740) 615-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005887KYMDPhysical Therapist
40QA01420800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
Ohrh, LLC Physical Therapist CurrentSince May 19, 2020 Accepting new patients
Ohrh, LLC CurrentSince May 19, 2020 Accepting new patients
Ohrh, LLC PastSince Nov 8, 2020 Accepting new patients

Locations

9368 Cedar Center Way
Louisville, KY 40291
Phone (502) 231-3979

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

2525 Bardstown Rd
Louisville, KY 40205
Phone (502) 458-8989

4420 Dixie Hwy
Ste 122
Shively, KY 40216
Phone (502) 447-2750

6021 Cleveland Ave
Columbus, OH 43231
Phone (614) 224-1090

7853 Pacer Dr
#3
Delaware, OH 43015
Phone (269) 910-8553

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1265709455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7853 PACER DR STE 3C",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157571",
            "telephone_number": "740-513-4847",
            "fax_number": "740-513-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7853 PACER DR STE 3C",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157571",
            "telephone_number": "740-513-4847",
            "fax_number": "740-513-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRO",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01420800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005887",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.