Active NPI
Logan Weithman
- Physical Therapist
- Columbus, OH
National Provider Identifier
1689364507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020425
- Practice address
- 3773 Olentangy River Rd Ste 201
Columbus, OH 43214-3425 - Phone
- (614) 407-8645
- NPI assigned
- May 12, 2023
- Last updated
- May 12, 2023
- Sex
- Male
- Sole proprietor
- No
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 | PT020425 | OH | Primary |
Addresses
Primary practice location
3773 Olentangy River Rd Ste 201
Columbus, OH 43214-3425
Mailing address
3195 Ryan Meadow PL
Galena, OH 43021-9205
Phone (614) 507-0429
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 |
|---|---|---|---|
| PT020425 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1689364507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3195 RYAN MEADOW PL",
"city": "GALENA",
"state": "OH",
"postal_code": "430219205",
"telephone_number": "614-507-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3773 OLENTANGY RIVER RD STE 201",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143425",
"telephone_number": "614-407-8645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITHMAN",
"first_name": "LOGAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-12",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.