NPIMap

Organization Active NPI

Outpatient at Home LLC

  • Physical Therapy Clinic/Center
  • Worthington, OH
National Provider Identifier
1629671003
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OUTPATIENT AT HOME LLC
Practice address
965 High St
Worthington, OH 43085-4057
Phone
(419) 564-2500
NPI assigned
Nov 18, 2020
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Jason RollerNPI 1689798662
Title
Senior Advisor
Phone
(419) 564-2500

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

965 High St
Worthington, OH 43085-4057

Mailing address

965 High St
Worthington, OH 43085-4057
Phone (419) 564-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201208001710 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204248784 Receives reassigned benefits from 82 practitioners
Practice locations: Worthington, OH

National Provider Directory

National Provider Directory

Locations

726 E Main St
Ste F
Lebanon, OH 45036
Phone (513) 464-6611

8050 Beckett Center Dr
Ste 219B
West Chester, OH 45069
Phone (828) 773-3137

965 High St
Worthington, OH 43085
Phone (614) 327-2362

Practitioners & affiliated clinicians

Practitioners 88

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1629671003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854057",
            "telephone_number": "419-564-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854057",
            "telephone_number": "419-564-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "ROLLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SENIOR ADVISOR",
        "authorized_official_telephone_number": "419-564-2500"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.