Individual provider Active NPI

Greyson Ellis Roberts, DPT

  • Physical Therapist
  • Westerville, OH
National Provider Identifier
1518510452
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018188 Issued in OH
Practice address
300 Polaris Pkwy Ste 160
Westerville, OH 43082-7989
Phone
(614) 533-3000
NPI assigned
Jul 19, 2019
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 PT018188 OH Primary

Addresses

Primary practice location

300 Polaris Pkwy Ste 160
Westerville, OH 43082-7989

Mailing address

300 Polaris Pkwy Ste 160
Westerville, OH 43082-7989
Phone (305) 726-1574

Other names 1

  • Genevieve Elyse Roberts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829004400 OH Practitioner - Physical Therapist in Private Practice 0042548901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohrh, LLCGroup PAC ID 5991942898, 154 clinicians

Practice addresses (Care Compare)

300 Polaris Pkwy
Suite 160
Westerville, OH 43082-7989
Phone (614) 776-0970

6021 Cleveland Ave
Columbus, OH 43231-2256
Phone (740) 615-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohrh, LLC CurrentSince Jul 9, 2019 Accepting new patients
Ohrh, LLC Physical Therapist CurrentSince Jul 9, 2019 Accepting new patients
Ohrh, LLC Current Accepting new patients

Locations

6021 Cleveland Ave
Columbus, OH 43231
Phone (614) 895-1090

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

300 Polaris Pkwy
Westerville, OH 43082
Phone (614) 533-3000

300 Polaris Pkwy
Ste 160
Westerville, OH 43082
Phone (614) 533-3000

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1518510452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 POLARIS PKWY STE 160",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827989",
            "telephone_number": "305-726-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 POLARIS PKWY STE 160",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827989",
            "telephone_number": "614-533-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "GREYSON",
        "middle_name": "ELLIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "ROBERTS",
            "middle_name": "ELYSE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.