Organization Active NPI

Kerner PMR LLC

  • Physical Medicine & Rehabilitation Physician
  • Dublin, OH
National Provider Identifier
1669606018
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35091057 Issued in OH
Legal business name
KERNER PMR LLC
Practice address
6905 Hospital Dr
Suite 120
Dublin, OH 43016-9600
Phone
(614) 792-3767
Fax
(614) 792-3768
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Dr. Todd Eric Kerner, M.D.NPI 1184845943
Title
Physician/Owner
Phone
(614) 792-3767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 35091057 OH Primary

Addresses

Primary practice location

6905 Hospital Dr
Suite 120
Dublin, OH 43016-9600

Mailing address

6905 Hospital Dr
Suite 120
Dublin, OH 43016-9600
Phone (614) 792-3767

Other names 1

  • Dublin Physical Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090608000432 OH Part B Supplier - Clinic/Group Practice 3375693666 Receives reassigned benefits from 3 practitioners
Practice locations: Worthington, OH; Dublin, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2004981Dublin Physical Medicine6905 Hospital Drive Suite 120, Dublin, OH 43016Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Locations

85 E Wilson Bridge Rd
Ste 130
Worthington, OH 43085
Phone (614) 792-3767

85 E Wilson Bridge Rd
Worthington, OH 43085
Phone (614) 262-7246

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1669606018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DR",
            "address_2": "SUITE 120",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169600",
            "telephone_number": "614-792-3767",
            "fax_number": "614-792-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DR",
            "address_2": "SUITE 120",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169600",
            "telephone_number": "614-792-3767",
            "fax_number": "614-792-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERNER PMR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "KERNER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "614-792-3767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35091057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dublin Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.