Individual provider Active NPI

Laura Elizabeth Sell Rupert, PA-C, ATC

  • Physician Assistant
  • Worthington, OH
National Provider Identifier
1922240282
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003263 Issued in OH
Practice address
350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085-2217
Phone
(614) 895-8747
Fax
(614) 895-3246
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003263 OH Primary

Addresses

Primary practice location

350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085-2217

Mailing address

350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085-2217
Phone (614) 895-8747

Other names 1

  • Laura Elizabeth Sell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140808002254 OH Practitioner - Physician Assistant 4880742519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Foot & Ankle, Inc CurrentSince Jul 5, 2014 Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD Physician Assistant Past Accepting new patients

Locations

350 W Wilson Bridge Rd
Ste 200
Worthington, OH 43085
Phone (614) 505-8990

Interoperability endpoints

  • Direct secure messaging: laura.rupert.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 3

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1922240282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W WILSON BRIDGE RD STE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852217",
            "telephone_number": "614-895-8747",
            "fax_number": "614-895-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WILSON BRIDGE RD STE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852217",
            "telephone_number": "614-895-8747",
            "fax_number": "614-895-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPERT",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH SELL",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SELL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.