Individual provider Active NPI

Nathaniel O'Malley, DPT

  • Physical Therapist
  • Gahanna, OH
National Provider Identifier
1720708555
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019265 Issued in OH
Practice address
605 Crescent PL
Gahanna, OH 43230-3086
Phone
(614) 545-7900
Fax
(614) 545-7901
NPI assigned
Aug 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 PT019265 OH Primary

Addresses

Primary practice location

605 Crescent PL
Gahanna, OH 43230-3086

Mailing address

340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 545-7900

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 1538165717 NovaCare Rehabilitation of Ohio Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221114000958 OH Practitioner - Physical Therapist in Private Practice 9335516897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic One, Inc.Group PAC ID 3072598283, 282 clinicians

Practice addresses (Care Compare)

605 Crescent PL
Gahanna, OH 43230-3086
Phone (614) 545-7900

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
89.85
Promoting interoperability
100
Improvement activities
40
Cost
78.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019265OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic One, Inc CurrentSince Dec 16, 2024 Accepting new patients
Orthopedic One, Inc. CurrentSince Dec 16, 2024 Accepting new patients

Locations

605 Crescent Pl
Gahanna, OH 43230

4604 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 839-2300

340 Polaris Pkwy
Westerville, OH 43082
Phone (614) 839-2300

Interoperability endpoints

  • Direct secure messaging: no'malley@orthopedicone.medentdirect.com

Organizations & group practices 2

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1720708555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 CRESCENT PL",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303086",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "NATHANIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1538165717",
            "affiliation": "Y",
            "affiliationName": "NovaCare Rehabilitation of Ohio Inc",
            "address_1": "783 Bethel Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432141901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 17, 2024; 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.