Individual provider Active NPI

Jamie Lynn Conner, PT, DPT

  • Physical Therapist
  • Dublin, OH
National Provider Identifier
1467019570
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018050 Issued in OH
Practice address
6099 Riverside Dr
Dublin, OH 43017-2004
Phone
(740) 953-1184
NPI assigned
May 23, 2019
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 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 PT018050 OH Primary
Physical Therapist 225100000X 12460 TN

Addresses

Primary practice location

6099 Riverside Dr
Dublin, OH 43017-2004

Mailing address

1236 Buckmeyer Dr
Marysville, OH 43040-7509
Phone (423) 946-5829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231019000916 OH Practitioner - Physical Therapist in Private Practice 4688020183 Reassigns benefits to 2 organizations
I20260325003829 MI Practitioner - Physical Therapist in Private Practice 4688020183 Reassigns benefits to 1 organization
I20260521003646 IN Practitioner - Physical Therapist in Private Practice 4688020183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Care Therapy LLCGroup PAC ID 5890122816, 109 clinicians

Practice addresses (Care Compare)

Brighton, MI 48116
Phone (740) 953-1184

110 E Wayne St
Suite 1215
Fort Wayne, IN 46802-2612
Phone (614) 271-2625

6099 Riverside Dr
Suite 207
Dublin, OH 43017-2004
Phone (740) 953-1184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12460TNMDSocial Worker
PT018050OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Total Care Therapy LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Tender Touch at Home NJ LLC Physical Therapist Past Accepting new patients

Locations

7927 Nemco Way
Ste 120
Brighton, MI 48116
Phone (614) 271-2625

6099 Riverside Dr
Ste 207
Dublin, OH 43017
Phone (614) 271-2625

Organizations & group practices 3

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1467019570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 BUCKMEYER DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407509",
            "telephone_number": "423-946-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 RIVERSIDE DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172004",
            "telephone_number": "740-953-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018050",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.