Individual provider Active NPI

Pamela Chestnut-Kobyra, PT

  • Specialist
  • Dublin, OH
National Provider Identifier
1528114865
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT - 3374 Issued in OH
Practice address
7128 Timberview Dr
Dublin, OH 43017-1019
Phone
(614) 734-9777
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT - 3374 OH Primary
Specialist 174400000X 05006569A IN

Addresses

Primary practice location

7128 Timberview Dr
Dublin, OH 43017-1019

Mailing address

7128 Timberview Dr
Dublin, OH 43017-1019
Phone (614) 734-9777

Other names 1

  • Pam Kobyra Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05006569AINMDSpecialist
PT - 3374OHMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528114865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7128 TIMBERVIEW DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171019",
            "telephone_number": "614-734-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7128 TIMBERVIEW DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171019",
            "telephone_number": "614-734-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTNUT-KOBYRA",
        "first_name": "PAMELA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "PT - 3374",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "05006569A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAM",
            "last_name": "KOBYRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 8, 2007; 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.