Individual provider Active NPI

George M Dyriw, PT, DPT, OCS, SCS

  • Physical Therapist
  • Gahanna, OH
National Provider Identifier
1659321883
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010946 Issued in OH
Practice address
920 North Hamilton Road
Osu Sports Medicine and Rehabilitation
Gahanna, OH 43230
Phone
(614) 293-7600
Fax
(614) 293-7540
NPI assigned
May 10, 2006
Last updated
Sep 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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 PT010946 OH Primary

Addresses

Primary practice location

920 North Hamilton Road
Osu Sports Medicine and Rehabilitation
Gahanna, OH 43230

Mailing address

920 North Hamilton Road
Osu Sports Medicine and Rehabilitation
Gahanna, OH 43230
Phone (614) 293-7600

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

LicenseStateTypeSpecialty
PT010946OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gdyriw39075@ehrdirect.uhhospitals.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1659321883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 NORTH HAMILTON ROAD",
            "address_2": "OSU SPORTS MEDICINE AND REHABILITATION",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-293-7600",
            "fax_number": "614-293-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 NORTH HAMILTON ROAD",
            "address_2": "OSU SPORTS MEDICINE AND REHABILITATION",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-293-7600",
            "fax_number": "614-293-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYRIW",
        "first_name": "GEORGE",
        "middle_name": "M",
        "credential": "PT, DPT, OCS, SCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT010946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.