Individual provider Active NPI

Mandi Elise Vonderhaar, PT

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1376820662
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.013298 Issued in OH
Practice address
880 Kinnear Rd
Columbus, OH 43212-1443
Phone
(330) 697-8327
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 38346 CA
Physical Therapist 225100000X PT.013298 OH Primary

Addresses

Primary practice location

880 Kinnear Rd
Columbus, OH 43212-1443

Mailing address

67 W Dunedin Rd
Columbus, OH 43214-4001
Phone (330) 697-8327

Other practice location 1

5551 Hilliard Rome Office Park
Hilliard, OH 43026-7287
Phone (614) 850-0500 ext. 2

Other identifiers 1

IdentifierTypeStateIssuer
12664347OtherOHCAQH

Other names 1

  • Dr. Mandi Elise Fetters Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://drmandivpt.janeapp.com/ Other Vonderhaar Physical Therapy, LLC

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
38346CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Vonderhaar Physical Therapy, LLC CurrentSince Oct 27, 2019 Accepting new patients

Locations

880 Kinnear Rd
Columbus, OH 43212
Phone (330) 697-8327

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": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1376820662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W DUNEDIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144001",
            "telephone_number": "330-697-8327",
            "fax_number": "614-850-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 KINNEAR RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432121443",
            "telephone_number": "330-697-8327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5551 Hilliard Rome Office Park",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430267287",
            "country_code": "US",
            "telephone_number": "614-850-0500 x2",
            "fax_number": "614-850-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VONDERHAAR",
        "first_name": "MANDI",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38346",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.013298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12664347",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://drmandivpt.janeapp.com/",
            "affiliation": "Y",
            "endpointDescription": "messaging/scheduling",
            "affiliationName": "Vonderhaar Physical Therapy, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "messaging/scheduling",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "online",
            "address_1": "880 Kinnear Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432121443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MANDI",
            "last_name": "FETTERS",
            "middle_name": "ELISE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 27, 2023; 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.