Active NPI
Brent Steven Applebaum, P.T.
- Physical Therapist
- Columbus, OH
National Provider Identifier
1639264161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004983
- Practice address
- 2862 East Main Street
Columbus, OH 43209 - Phone
- (614) 246-4093
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004983 | OH | Primary |
Addresses
Primary practice location
2862 East Main Street
Columbus, OH 43209
Mailing address
462 South 18TH Street
Columbus, OH 43205
Phone (614) 252-5769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2445125 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004983 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Online and Medical Exchange, Inc. | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Bexley, OH
- NPI 1740048842
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1639264161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 SOUTH 18TH STREET",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-252-5769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2862 EAST MAIN STREET",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43209",
"telephone_number": "614-246-4093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLEBAUM",
"first_name": "BRENT",
"middle_name": "STEVEN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "004983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2445125",
"state": "OH"
}
],
"endpoints": [],
"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 Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.