Individual provider Active NPI

Jamie Lynn King, PT, DPT

  • Physical Therapist
  • Gahanna, OH
National Provider Identifier
1679113617
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018378 Issued in OH
Practice address
1045 Beecher Xing N Ste C
Gahanna, OH 43230-4573
Phone
(614) 775-9618
NPI assigned
Jan 7, 2020
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 PT018378 OH Primary

Addresses

Primary practice location

1045 Beecher Xing N Ste C
Gahanna, OH 43230-4573

Mailing address

11945 Lithopolis Rd NW
Canal Winchester, OH 43110-9585
Phone (614) 775-9618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200602002738 OH Practitioner - Physical Therapist in Private Practice 4587085337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1506 Hubbard Dr
Lancaster, OH 43130-8124
Phone (740) 785-5231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018378OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gahanna Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 2, 2021 Accepting new patients
Ohrh, LLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Gahanna Physical Therapy Limited Partnership Physical Therapist Current Accepting new patients
Ohrh, LLC CurrentSince Mar 1, 2020 Accepting new patients
Gahanna Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 2, 2021 Accepting new patients
Ohrh, LLC Current Accepting new patients

Locations

11945 Lithopolis Rd NW
Canal Wnchstr, OH 43110
Phone (614) 837-4381

6021 Cleveland Ave
Columbus, OH 43231
Phone (614) 895-1090

1045 Beecher Xing N
Ste C
Gahanna, OH 43230
Phone (614) 775-9618

2000 Newark Granville Rd
Ste 203
Granville, OH 43023
Phone (740) 788-8100

5323 Hendron Rd
Groveport, OH 43125
Phone (614) 836-2349

1506 Hubbard Dr
Lancaster, OH 43130
Phone (740) 485-5489

Organizations & group practices 6

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1679113617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 LITHOPOLIS RD NW",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109585",
            "telephone_number": "614-775-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 BEECHER XING N STE C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304573",
            "telephone_number": "614-775-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018378",
            "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 Dec 8, 2022; 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.