Rex Alba
Individual provider Active NPI Physical Therapist · Moraine, OH
NPI 1851620199 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1851620199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05009623A (IN)
- Practice address
- 3170 Kettering Blvd
Moraine, OH 45439-1924 - Phone
- (372) 086-4009
- NPI assigned
- Dec 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ohrh, LLC
Outpatient at Home LLC
Practice addresses (Care Compare)
1080 N Bridge St
Chillicothe, OH 45601-1789
Phone (740) 616-8553
965 High St
Worthington, OH 43085-4065
Phone (614) 784-0400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161109002554 | OH | Practitioner - Physical Therapist in Private Practice | 0244519593 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013140 | OH | MD | Physical Medicine & Rehabilitation Physician |
| 05009623A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpatient at Home LLC | Physical Therapist | Current |
Accepting new patients |
| Columbus Physical Therapy, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
965 High St
Worthington, OH 43085
Phone (614) 327-2362
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT013140 | OH | |
| Physical Therapist | 225100000X | 05009623A | IN | Yes |
Addresses
Primary practice location
3170 Kettering Blvd
Moraine, OH 45439-1924
Mailing address
3000 Scioto PL
Columbus, OH 43221-4754
Phone (614) 432-5395
Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.