Individual provider Active NPI

Paul Joseph Gagne, DPT

  • Orthopedic Physical Therapist
  • Columbus, OH
National Provider Identifier
1275658940
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
014372 Issued in OH
Practice address
730 Mount Airyshire Blvd
Columbus, OH 43235-1364
Phone
(614) 888-7288
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7600 AZ
Orthopedic Physical Therapist 2251X0800X 014372 OH Primary

Addresses

Primary practice location

730 Mount Airyshire Blvd
Columbus, OH 43235-1364

Mailing address

241 Willowdown CT
Columbus, OH 43235-7027
Phone (419) 290-5550

Other identifiers 1

IdentifierTypeStateIssuer
7600OtherAZSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150715000471 OH Practitioner - Physical Therapist in Private Practice 3577669001 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohrh, LLCGroup PAC ID 5991942898, 154 clinicians

Practice addresses (Care Compare)

730 Mount Airyshire Blvd
Suite C
Columbus, OH 43235-1364
Phone (740) 615-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014372OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohrh, LLC CurrentSince Dec 1, 2018 Accepting new patients
Ohrh, LLC Physical Therapist CurrentSince Dec 1, 2018 Accepting new patients
Ohrh, LLC Current Accepting new patients
Novacare Rehabilitation of Ohio, Inc. CurrentSince May 2, 2018 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. Physical Therapist CurrentSince May 2, 2018 Accepting new patients
Nagy Healthcare LLC CurrentSince Sep 1, 2020 Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients
Orthosports Physical Therapy PastSince Nov 1, 2015 Accepting new patients
Arizona Orthosports Physical Therapy, Inc Physical Therapist PastSince Sep 1, 2006 Accepting new patients

Locations

730 Mount Airyshire Blvd
Ste C
Columbus, OH 43235
Phone (614) 888-7288

730 Mount Airyshire Blvd
Columbus, OH 43235
Phone (614) 880-2020

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

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

60 West St
Geneva, OH 44041
Phone (440) 466-1181

803 E Washington St
Ste 130
Medina, OH 44256
Phone (330) 725-4200

196 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7500

Organizations & group practices 9

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1275658940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 WILLOWDOWN CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432357027",
            "telephone_number": "419-290-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MOUNT AIRYSHIRE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351364",
            "telephone_number": "614-888-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7600",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "014372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7600",
            "state": "AZ"
        }
    ],
    "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 Jan 7, 2025; 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.