Active NPI
Justin Loring Weisbrod, PT
- Physical Therapist
- Gahanna, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT11056
- Practice address
- 1045 Beecher Xing N
Suite C
Gahanna, OH 43230-4573 - Phone
- (614) 775-9618
- Fax
- (614) 775-9633
- NPI assigned
- Jan 19, 2006
- 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 | PT11056 | OH | Primary |
Addresses
Primary practice location
1045 Beecher Xing N
Suite C
Gahanna, OH 43230-4573
Mailing address
1045 Beecher Xing N
Suite C
Gahanna, OH 43230-4573
Phone (614) 775-9618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT11056 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gahanna Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Gahanna Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Gahanna Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Gahanna Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Gahanna Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
11945 Lithopolis Rd NW
Canal Wnchstr, OH 43110
Phone (614) 837-4381
3100 Plaza Properties Blvd
Ste 210
Columbus, OH 43219
Phone (614) 334-6434
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
1506 Hubbard Dr
Lancaster, OH 43130
Phone (740) 485-5489
1914 Tamarack Rd
Newark, OH 43055
Phone (740) 788-8100
Organizations & group practices 5
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.
-
dba Cornerstone Physical Therapy
- Rehabilitation Clinic/Center
- Gahanna, OH
- NPI 1376775577
Physical Therapist
-
dba Cornerstone Physical Therapy
- Physical Therapist
- Lancaster, OH
- NPI 1245865625
-
dba Cornerstone Physical Therapy
- Physical Therapy Clinic/Center
- Granville, OH
- NPI 1174807846
Physical Therapist
-
dba Cornerstone Physical Therapy
- Physical Therapist
- Columbus, OH
- NPI 1609361203
-
dba Cornerstone Physical Therapy
- Physical Therapist
- Canal Winchester, OH
- NPI 1740517382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254355200000",
"number": "1750361499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 BEECHER XING N",
"address_2": "SUITE C",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432304573",
"telephone_number": "614-775-9618",
"fax_number": "614-775-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 BEECHER XING N",
"address_2": "SUITE C",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432304573",
"telephone_number": "614-775-9618",
"fax_number": "614-775-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISBROD",
"first_name": "JUSTIN",
"middle_name": "LORING",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2009-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT11056",
"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 Oct 1, 2009; 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.