Organization Active NPI

Pinnacle Physical Medicine of Westerville LLC

  • Physical Medicine & Rehabilitation Physician
  • Westerville, OH
National Provider Identifier
1265973234
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
34006500 Issued in OH
Legal business name
PINNACLE PHYSICAL MEDICINE OF WESTERVILLE LLC
Practice address
2511 W Schrock Rd
Westerville, OH 43081-8956
Phone
(614) 832-8862
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Amanda Stevenson
Title
Owner
Phone
(614) 832-8862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 34006500 OH Primary

Addresses

Primary practice location

2511 W Schrock Rd
Westerville, OH 43081-8956

Mailing address

216 Bermuda Dr
Johnstown, OH 43031-9620
Phone (614) 832-8862

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1265973234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 BERMUDA DR",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430319620",
            "telephone_number": "614-832-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 W SCHROCK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818956",
            "telephone_number": "614-832-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PHYSICAL MEDICINE OF WESTERVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-832-8862"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "34006500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.