NPIMap

Individual provider Active NPI

Douglas Sklenka, P.T.

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1477567477
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010841 Issued in OH
Practice address
4821 Roberts Rd
Columbus, OH 43228-9496
Phone
(614) 850-1476
Fax
(614) 850-1476
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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 PT010841 OH Primary

Addresses

Primary practice location

4821 Roberts Rd
Columbus, OH 43228-9496

Mailing address

5587 Pinehurst Dr Apt a
Hilliard, OH 43026-4346
Phone (614) 850-1476

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
PT010841OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tricounty Physical Therapy Inc Physical Therapist Past Accepting new patients
Center of Orthopedic Surgery Inc Past Accepting new patients
Tricounty Physical Therapy Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1477567477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5587 PINEHURST DR APT A",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430264346",
            "telephone_number": "614-850-1476",
            "fax_number": "614-850-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 ROBERTS RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432289496",
            "telephone_number": "614-850-1476",
            "fax_number": "614-850-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLENKA",
        "first_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT010841",
            "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 Oct 8, 2008; 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.