Active NPI
George M Dyriw, PT, DPT, OCS, SCS
- Physical Therapist
- Gahanna, OH
National Provider Identifier
1659321883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010946
- 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, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT010946 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates, Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Orthopaedic Surgery Physician
- Westlake, OH
- NPI 1912978131
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.