Individual provider Active NPI

Isata Mariam Kamara, PTA

  • Physical Medicine & Rehabilitation Physician
  • Columbus, OH
National Provider Identifier
1588285092
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PTA011713 Issued in OH
Practice address
717 Neil Ave
Columbus, OH 43215-1609
Phone
(614) 228-8888
NPI assigned
May 6, 2020
Last updated
May 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PTA011713 OH Primary

Addresses

Primary practice location

717 Neil Ave
Columbus, OH 43215-1609

Mailing address

1426 Chesapeake Ave
Columbus, OH 43212-2151
Phone (614) 226-1480

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.ohioliving.org/communities/ohio-living-westminster-thurber/

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
PTA011713OHMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1588285092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 CHESAPEAKE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122151",
            "telephone_number": "614-226-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NEIL AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151609",
            "telephone_number": "614-228-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "ISATA",
        "middle_name": "MARIAM",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "PTA011713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.ohioliving.org/communities/ohio-living-westminster-thurber/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "717 Neil Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432151609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 6, 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.

Verify at the official NPI Registry.