Individual provider Active NPI

Valerie Elizabeth Mazzolini, DPT

  • Physical Therapist
  • Westerville, OH
National Provider Identifier
1366806861
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016229 Issued in OH
Practice address
625 Africa Rd Ste 160
Westerville, OH 43082-9830
Phone
(614) 392-2812
Fax
(614) 392-2816
NPI assigned
Apr 11, 2016
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 PT016229 OH Primary

Addresses

Primary practice location

625 Africa Rd Ste 160
Westerville, OH 43082-9830

Mailing address

625 Africa Rd Ste 160
Westerville, OH 43082-9830
Phone (614) 392-2812

Other identifiers 1

IdentifierTypeStateIssuer
0329493MedicaidOH

Other names 1

  • Valerie Elizabeth Johns Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703002788 OH Practitioner - Physical Therapist in Private Practice 4880929397 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services Oh, LLCGroup PAC ID 1254698350, 142 clinicians

Practice addresses (Care Compare)

6525 N High St
Worthington, OH 43085-4045
Phone (877) 407-3422

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016229OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Neurological Consultants, Inc. Physical Therapist CurrentSince Apr 23, 2019 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Physical Therapist CurrentSince Dec 20, 2021 Accepting new patients
Fox Rehabilitation Services Oh, LLC Physical Therapist CurrentSince May 5, 2024 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Dec 20, 2021 Accepting new patients
Orthopedic & Neurological Consultants, Inc CurrentSince Apr 23, 2019 Accepting new patients

Locations

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

L 3973
Columbus, OH 43260

1240 Hill Rd N
Pickerington, OH 43147
Phone (614) 839-2115

625 Africa Rd
Ste 160
Westerville, OH 43082
Phone (614) 392-2812

655 Africa Rd
Westerville, OH 43082

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-3275

6525 N High St
Worthington, OH 43085
Phone (332) 230-2813

Organizations & group practices 5

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1366806861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 AFRICA RD STE 160",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829830",
            "telephone_number": "614-392-2812",
            "fax_number": "614-392-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 AFRICA RD STE 160",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829830",
            "telephone_number": "614-392-2812",
            "fax_number": "614-392-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOLINI",
        "first_name": "VALERIE",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0329493",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "JOHNS",
            "middle_name": "ELIZABETH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 13, 2022; 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.