Nicole Ludban, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

156 Granville St
Gahanna, OH 43230-6505

Phone

(614) 470-6240

Fax

(614) 470-6244

NPI assigned

Sep 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Kluse Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Sports Medicine Grant, Inc

  dba Sports Medicine Grant & Orthopaedic Associates

  • Orthopaedic Surgery Physician
  • Columbus, OH
  • NPI 1588649842
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649372475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 PORTSIDE DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269172",
            "telephone_number": "614-470-6240",
            "fax_number": "614-470-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 GRANVILLE ST",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306505",
            "telephone_number": "614-470-6240",
            "fax_number": "614-470-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDBAN",
        "first_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KLUSE",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nathan Ellis Lorenz, D.C.
• Janel Elaine Love, PTA
• Robert Bruce Lowe, DDS
• Jennifer L. Lowery, PC
• Dale Lucas
• Kristen Ann Luebrecht, OTR
• Camille P. Luke, CCC-SLP
• Sheryl Ann Lund, OTR/L, CHT
• Barbara Lee Lusher
• Nicolette Lusmat, LMT

• Physical Therapist in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.