Individual provider Active NPI

Jacob William Nigolian, DPT

  • Orthopedic Physical Therapist
  • Columbus, OH
National Provider Identifier
1477031078
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT.018423 Issued in OH
Practice address
170 Taylor Station Rd
Columbus, OH 43213-4491
Phone
(614) 545-7900
Fax
(614) 545-7901
NPI assigned
Aug 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT027158 PA
Physical Therapist 225100000X PT.018423 OH
Orthopedic Physical Therapist 2251X0800X PT.018423 OH Primary

Addresses

Primary practice location

170 Taylor Station Rd
Columbus, OH 43213-4491

Mailing address

170 Taylor Station Rd
Columbus, OH 43213-4491
Phone (614) 545-7900

Other practice location 1

4605 Sawmill Rd
Upper Arlington, OH 43220-2246
Phone (614) 545-7900

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
PT.018423OHMDPhysical Therapist
PT027158PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1477031078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 TAYLOR STATION RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134491",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 TAYLOR STATION RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134491",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4605 Sawmill Rd",
            "address_purpose": "LOCATION",
            "city": "Upper Arlington",
            "state": "OH",
            "postal_code": "432202246",
            "country_code": "US",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIGOLIAN",
        "first_name": "JACOB",
        "middle_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027158",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.018423",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT.018423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 7, 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.