Dmitry Karavaev

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019688 Issued in OH

Practice address

1939 Sotherby Xing
Lewis Center, OH 43035-7155

Phone

(614) 425-6828

NPI assigned

Aug 28, 2020

Last updated

Oct 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1548873631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 SOTHERBY XING",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357155",
            "telephone_number": "614-425-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 SOTHERBY XING",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357155",
            "telephone_number": "614-425-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAVAEV",
        "first_name": "DMITRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019688",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "008921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Theresa Johnson, PHARMD
• Abigail Julian
• Katherine Anne Jurey
• Jennifer Jury, MS.ED., CAGS, NCSP
• Kadence Physical Therapy LLC
• John Kamah Kargbo
• Nicole Karnes
• Katie Castello Counseling
• Peter Andrew Kelley, LPCC
• Stacy Sue Kelley, CNP

• Physical Therapist in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.