Individual provider Active NPI

Valerie Bartram, PTA

  • Physical Therapy Assistant
  • Columbus, OH
National Provider Identifier
1316699978
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
012242 Issued in OH
Practice address
1350 Alum Creek Dr
Columbus, OH 43209-2705
Phone
(614) 262-7520
NPI assigned
Jan 24, 2022
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 012242 OH Primary

Addresses

Primary practice location

1350 Alum Creek Dr
Columbus, OH 43209-2705

Mailing address

6464 Township Road 179
Cardington, OH 43315-9235
Phone (567) 876-9456

Other identifiers 1

IdentifierTypeStateIssuer
PTA012242OtherOHOHIO OTPTAT BOARD

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

LicenseStateTypeSpecialty
012242OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Therapy Center CurrentSince Feb 1, 2022 Accepting new patients
Bridgeway Therapy Center CurrentSince Apr 3, 2022 Accepting new patients

Locations

1350 Alum Creek Dr
Columbus, OH 43209
Phone (614) 262-7520

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1316699978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 TOWNSHIP ROAD 179",
            "city": "CARDINGTON",
            "state": "OH",
            "postal_code": "433159235",
            "telephone_number": "567-876-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092705",
            "telephone_number": "614-262-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTRAM",
        "first_name": "VALERIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "012242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO OTPTAT BOARD",
            "identifier": "PTA012242",
            "state": "OH"
        }
    ],
    "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 24, 2022; 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.