Kelly Marie Holton, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014187 Issued in OH

Practice address

7750 Diley Rd Ste B
Canal Winchester, OH 43110-7758

Phone

(614) 545-7939

Fax

(614) 388-9812

NPI assigned

May 31, 2013

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

• Kelly Marie Sufka Former name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Ohio State University College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic One, Inc.Group PAC ID 3072598283, 282 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: kholton@orthopedicone.medentdirect.com

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.

• Orthopedic One, Inc.

  • Orthopaedic Surgery Physician
  • Westerville, OH
  • NPI 1548289697
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1659718690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-839-2300",
            "fax_number": "614-839-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 DILEY RD STE B",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107758",
            "telephone_number": "614-545-7939",
            "fax_number": "614-388-9812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4605 Sawmill Rd",
            "address_purpose": "LOCATION",
            "city": "Upper Arlington",
            "state": "OH",
            "postal_code": "43220",
            "country_code": "US",
            "telephone_number": "614-827-1050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Polaris Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430827971",
            "country_code": "US",
            "telephone_number": "614-839-2300",
            "fax_number": "614-839-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTON",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT014187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SUFKA",
            "middle_name": "MARIE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.