Active NPI
Patricia Joel Gries, P.T.
- Physical Therapist
- West Chester, OH
National Provider Identifier
1508070780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-005697
- Practice address
- 7591 Tylers Place Blvd
West Chester, OH 45069 - Phone
- (513) 755-6600
- Fax
- (513) 755-3762
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-005697 | OH | Primary |
Addresses
Primary practice location
7591 Tylers Place Blvd
West Chester, OH 45069
Mailing address
7591 Tylers Place Blvd
West Chester, OH 45069-6308
Phone (513) 755-6600
Other practice location 1
500 E-Business Way
Suite C
Cincinnati, OH 45241
Phone (513) 389-3666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AB7360731 | Other | OH | MEDICARE PIN |
| 0406425 | Medicaid | OH |
Other names 1
- Patricia Joel Condo
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-005697 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Pediatric Therapy LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- West Chester, OH
- NPI 1134152861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1508070780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7591 TYLERS PLACE BLVD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450696308",
"telephone_number": "513-755-6600",
"fax_number": "513-755-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7591 TYLERS PLACE BLVD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "45069",
"telephone_number": "513-755-6600",
"fax_number": "513-755-3762"
}
],
"practiceLocations": [
{
"address_1": "500 E-Business Way",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "45241",
"country_code": "US",
"telephone_number": "513-389-3666",
"fax_number": "513-389-3665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIES",
"first_name": "PATRICIA",
"middle_name": "JOEL",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT-005697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "AB7360731",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0406425",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "CONDO",
"middle_name": "JOEL",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.