Individual provider Active NPI

Jenna Marie Washabaugh, DPT

  • Orthopedic Physical Therapist
  • Columbus, OH
National Provider Identifier
1659777571
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
014966 Issued in OH
Practice address
720 E Broad St
Columbus, OH 43215-3988
Phone
(614) 224-1090
Fax
(614) 224-1090
NPI assigned
Nov 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 014966 OH Primary

Addresses

Primary practice location

720 E Broad St
Columbus, OH 43215-3988

Mailing address

720 E Broad St
Columbus, OH 43215-3988
Phone (614) 224-1090

Other names 1

  • Jenna Marie Stetler Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
014966OHMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1659777571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153988",
            "telephone_number": "614-224-1090",
            "fax_number": "614-224-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153988",
            "telephone_number": "614-224-1090",
            "fax_number": "614-224-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHABAUGH",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "014966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "STETLER",
            "middle_name": "MARIE",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 5, 2014; 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.