Organization Active NPI

Kadence Physical Therapy LLC

  • Physical Therapist
  • Lewis Center, OH
National Provider Identifier
1588327910
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KADENCE PHYSICAL THERAPY LLC
Practice address
320 Brets LN
Lewis Center, OH 43035-6942
Phone
(614) 400-1087
Fax
(614) 633-1361
NPI assigned
Oct 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Ravin Pravinkumar Shah, PT DPT MBA- HCMNPI 1093338907
Title
Managing Member/Ceo/Owner
Phone
(614) 400-1087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

320 Brets LN
Lewis Center, OH 43035-6942

Mailing address

320 Brets LN
Lewis Center, OH 43035-6942
Phone (614) 400-1087

Other practice location 1

25 Hidden Ravines Dr
Powell, OH 43065-9883
Phone (614) 400-1087

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211101001293 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496143042 Receives reassigned benefits from 2 practitioners
Practice locations: Lewis Center, OH; Powell, OH

National Provider Directory

National Provider Directory

Locations

25 Hidden Ravines Dr
Ste B
Powell, OH 43065
Phone (614) 400-1087

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1588327910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BRETS LN",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430356942",
            "telephone_number": "614-400-1087",
            "fax_number": "614-633-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BRETS LN",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430356942",
            "telephone_number": "614-400-1087",
            "fax_number": "614-633-1361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Hidden Ravines Dr",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "OH",
            "postal_code": "430659883",
            "country_code": "US",
            "telephone_number": "614-400-1087",
            "fax_number": "614-633-1361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KADENCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAVIN",
        "authorized_official_middle_name": "PRAVINKUMAR",
        "authorized_official_title_or_position": "MANAGING MEMBER/CEO/OWNER",
        "authorized_official_telephone_number": "614-400-1087",
        "authorized_official_credential": "PT DPT MBA- HCM"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.