Individual provider Active NPI

Ryan Kasprzak

  • Physical Therapist
  • Powell, OH
National Provider Identifier
1942992516
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020403 Issued in OH
Practice address
10401 Sawmill Pkwy Ste B
Powell, OH 43065-7451
Phone
(380) 390-4540
NPI assigned
May 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 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 PT020403 OH Primary

Addresses

Primary practice location

10401 Sawmill Pkwy Ste B
Powell, OH 43065-7451

Mailing address

5788 Dee Dr
Hilliard, OH 43026-7332
Phone (614) 937-4266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724003858 OH Practitioner - Physical Therapist in Private Practice 0648630517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohrh, LLCGroup PAC ID 5991942898, 154 clinicians

Practice addresses (Care Compare)

10401 Sawmill Pkwy
Powell, OH 43065-7451
Phone (740) 615-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020403OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohrh, LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Ohrh, LLC CurrentSince Jun 1, 2023 Accepting new patients
Ohrh, LLC Current Accepting new patients
Ohiohealth Corporation PastSince May 28, 2023 Accepting new patients
Ohrh, LLC PastSince May 28, 2023 Accepting new patients

Locations

6021 Cleveland Ave
Columbus, OH 43231
Phone (614) 224-1090

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

10401 Sawmill Pkwy
Ste B
Powell, OH 43065
Phone (380) 390-4540

10401 Sawmill Pkwy
Powell, OH 43065
Phone (614) 685-2805

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1942992516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 DEE DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267332",
            "telephone_number": "614-937-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 SAWMILL PKWY STE B",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657451",
            "telephone_number": "380-390-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPRZAK",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.