Individual provider Active NPI

Emily Rose Naderer

  • Physical Therapist
  • Canal Winchester, OH
National Provider Identifier
1902395296
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011940 Issued in OH
Practice address
11945 Lithopolis Rd NW # 2
Canal Winchester, OH 43110-9585
Phone
(614) 837-4381
Fax
(614) 833-4266
NPI assigned
May 2, 2018
Last updated
May 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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 PT011940 OH Primary

Addresses

Primary practice location

11945 Lithopolis Rd NW # 2
Canal Winchester, OH 43110-9585

Mailing address

11945 Lithopolis Rd NW # 2
Canal Winchester, OH 43110-9585
Phone (614) 837-4381

Other practice location 1

1045 Beecher Xing N Ste C
Gahanna, OH 43230-4573
Phone (614) 775-9618

Other practice location 2

1914 Tamarack Rd
Newark, OH 43055-2303
Phone (740) 788-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gahanna Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1902395296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 LITHOPOLIS RD NW # 2",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109585",
            "telephone_number": "614-837-4381",
            "fax_number": "614-833-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11945 LITHOPOLIS RD NW # 2",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109585",
            "telephone_number": "614-837-4381",
            "fax_number": "614-833-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Beecher Xing N Ste C",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432304573",
            "country_code": "US",
            "telephone_number": "614-775-9618",
            "fax_number": "614-775-9633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1914 Tamarack Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430552303",
            "country_code": "US",
            "telephone_number": "740-788-8100",
            "fax_number": "740-788-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADERER",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT011940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.