Individual provider Active NPI

Michaela Stopar, DPT

  • Physical Therapist
  • Granville, OH
National Provider Identifier
1346816147
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019249 Issued in OH
Practice address
2000 Newark Granville Rd Ste 203
Granville, OH 43023-7010
Phone
(740) 788-8100
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019249 OH Primary

Addresses

Primary practice location

2000 Newark Granville Rd Ste 203
Granville, OH 43023-7010

Mailing address

11945 Lithopolis Rd NW
Canal Winchester, OH 43110-9585

Other names 1

  • Michaela Viola Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019249OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gahanna Physical Therapy Limited Partnership Physical Therapist PastSince May 28, 2021 Accepting new patients

Organizations & group practices 1

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1346816147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 LITHOPOLIS RD NW",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEWARK GRANVILLE RD STE 203",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430237010",
            "telephone_number": "740-788-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOPAR",
        "first_name": "MICHAELA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "VIOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.