Organization Active NPI

Theracare Inc

  • Physical Therapy Clinic/Center
  • Gahanna, OH
National Provider Identifier
1386623155
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THERACARE INC
Doing business as
TheraCare Physical Therapy
Practice address
535 Officenter PL
Suite C
Gahanna, OH 43230
Phone
(614) 471-0036
Fax
(614) 471-0087
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Debra Rena Rennard
Title
Reimbursement MGR
Phone
(740) 965-0816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

535 Officenter PL
Suite C
Gahanna, OH 43230

Mailing address

535 Officenter PL
Suite C
Gahanna, OH 43230
Phone (614) 471-0036

Other identifiers 1

IdentifierTypeStateIssuer
2133551MedicaidOH

Other names 1

  • TheraCare Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

535 Officenter Pl
Ste C
Gahanna, OH 43230
Phone (614) 471-0036

535 Officenter Pl
#C
Gahanna, OH 43230
Phone (614) 471-0036

153 W Main St
Ste 101
New Albany, OH 43054
Phone (614) 741-7031

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386623155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 OFFICENTER PL",
            "address_2": "SUITE C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-471-0036",
            "fax_number": "614-471-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 OFFICENTER PL",
            "address_2": "SUITE C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-471-0036",
            "fax_number": "614-471-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENNARD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "REIMBURSEMENT MGR",
        "authorized_official_telephone_number": "740-965-0816",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2133551",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraCare Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.