Individual provider Active NPI

Elizabeth Gimmison, DPT

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1790138287
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016397 Issued in OH
Practice address
6021 Cleveland Ave
Columbus, OH 43231-2256
Phone
(614) 895-1090
NPI assigned
Jul 20, 2016
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 PT016397 OH Primary

Addresses

Primary practice location

6021 Cleveland Ave
Columbus, OH 43231-2256

Mailing address

6021 Cleveland Ave
Columbus, OH 43231-2256
Phone (614) 895-1090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190104002405 OH Practitioner - Physical Therapist in Private Practice 5597001974 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Newgen Therapy LLCGroup PAC ID 2466849401, 2 clinicians

Practice addresses (Care Compare)

685 Lyons Rd
Washington Township, OH 45459-3978
Phone (937) 938-1104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016397OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohrh, LLC Physical Therapist CurrentSince Nov 3, 2018 Accepting new patients
Ohio Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 26, 2022 Accepting new patients
Ohrh, LLC CurrentSince Nov 3, 2018 Accepting new patients
Newgen Therapy LLC Physical Therapist CurrentSince Dec 9, 2022 Accepting new patients
Ohrh, LLC Current Accepting new patients

Locations

4200 Regent St
Ste 200
Columbus, OH 43219
Phone (877) 581-2210

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

685 Lyons Rd
Washington Township, OH 45459
Phone (937) 938-1104

925 N State St
Ste G
Westerville, OH 43082
Phone (614) 865-8733

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, 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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1790138287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312256",
            "telephone_number": "614-895-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312256",
            "telephone_number": "614-895-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMMISON",
        "first_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016397",
            "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 Dec 18, 2023; 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.