Individual provider Active NPI

Dianne Margaret Kanakkanatt, PT

  • Physical Therapist
  • Worthington, OH
National Provider Identifier
1720040561
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014914 Issued in OH
Practice address
350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085-2591
Phone
(614) 895-8747
Fax
(614) 895-8810
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014914 OH Primary
Physical Therapist 225100000X 2305202544 VA

Addresses

Primary practice location

350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085-2591

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 713-1779

Other names 1

  • Dianne Margaret Shineman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308000687 OH Practitioner - Physical Therapist in Private Practice 2466524657 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
8064MNMDClinical Social Worker
2305202544VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohrh, LLC CurrentSince Nov 18, 2025 Accepting new patients
Ohrh, LLC Physical Therapist CurrentSince Nov 18, 2025 Accepting new patients

Locations

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

6021 Cleveland Ave
Columbus, OH 43231
Phone (614) 224-1090

Interoperability endpoints

  • Direct secure messaging: dianne.kanakkanatt.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1720040561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-713-1779",
            "fax_number": "513-854-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WILSON BRIDGE RD STE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852591",
            "telephone_number": "614-895-8747",
            "fax_number": "614-895-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAKKANATT",
        "first_name": "DIANNE",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT014914",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "SHINEMAN",
            "middle_name": "MARGARET",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.