Individual provider Active NPI

Amy D Stadulis, PT

  • Physical Therapist
  • Westerville, OH
National Provider Identifier
1952010845
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007646 Issued in OH
Practice address
340 Polaris Pkwy
Westerville, OH 43082-7971
Phone
(614) 839-2300
NPI assigned
Nov 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 PT007646 OH Primary

Addresses

Primary practice location

340 Polaris Pkwy
Westerville, OH 43082-7971

Mailing address

340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 545-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230113000850 OH Practitioner - Physical Therapist in Private Practice 0840661658 Reassigns benefits to 2 organizations
Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
89.85
Promoting interoperability
100
Improvement activities
40
Cost
78.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic One, Inc CurrentSince Nov 20, 2023 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Dec 5, 2022 Accepting new patients
Orthopedic One, Inc. CurrentSince Nov 20, 2023 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Dec 5, 2022 Accepting new patients

Locations

7750 Diley Rd
#B
Canal Winchester, OH 43110
Phone (614) 545-7939

8080 N High St
Columbus, OH 43235
Phone (614) 515-5672

3600 Stelzer Rd
Ste 240
Columbus, OH 43219
Phone (614) 827-1300

460 W Central Ave
Delaware, OH 43015
Phone (740) 369-8751

6810 Perimeter Dr
Ste 200
Dublin, OH 43016
Phone (614) 408-0840

6840 Perimeter Dr
Dublin, OH 43016
Phone (614) 764-8700

605 Crescent Pl
Gahanna, OH 43230

4611 Trueman Blvd
Ste B
Hilliard, OH 43026
Phone (614) 340-0683

10104 Brewster Ln
Ste 180
Powell, OH 43065
Phone (614) 929-0463

4605 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 827-1050

4604 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 839-2300

340 Polaris Pkwy
Westerville, OH 43082
Phone (614) 839-2300

Interoperability endpoints

  • Direct secure messaging: astadulis@orthopedicone.medentdirect.com

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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1952010845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-839-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADULIS",
        "first_name": "AMY",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT007646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.