Active NPI
Christopher Cervenka, PT, DPT
- Physical Therapist
- Columbus, OH
National Provider Identifier
1285064410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.0139136
- Practice address
- 1644 Rhoda Ave
Columbus, OH 43212-1422 - Phone
- (440) 785-5336
- NPI assigned
- Nov 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | PT.0139136 | OH | Primary |
Addresses
Primary practice location
1644 Rhoda Ave
Columbus, OH 43212-1422
Mailing address
1644 Rhoda Ave
Columbus, OH 43212-1422
Phone (440) 785-5336
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 |
|---|---|---|---|
| PT.0139136 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1285064410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1644 RHODA AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432121422",
"telephone_number": "440-785-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1644 RHODA AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432121422",
"telephone_number": "440-785-5336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVENKA",
"first_name": "CHRISTOPHER",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-25",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.0139136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
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- Sarah Cervenec
- John Cervi, LSW
- Cesar Chavez College Preparatory School
- Cessna Home Health Care
- Lacey Cessna, LPC
- Andres Emilio Cestti
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.