Individual provider Active NPI

Jessica Rupp, DPT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1609648591
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020663 Issued in OH
Practice address
463 Ohio Pike Ste 203
Cincinnati, OH 45255-3745
Phone
(513) 247-4360
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 PT020663 OH Primary

Addresses

Primary practice location

463 Ohio Pike Ste 203
Cincinnati, OH 45255-3745

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107001937 OH Practitioner - Physical Therapist in Private Practice 6901253327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy LLCGroup PAC ID 9739323460, 19 clinicians

Practice addresses (Care Compare)

463 Ohio Pike
Suite 203
Cincinnati, OH 45255-3745
Phone (513) 247-4340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020663OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy LLC Physical Therapist Current Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Nov 6, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1609648591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 OHIO PIKE STE 203",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553745",
            "telephone_number": "513-247-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.