Katie M Lullo, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT019267 Issued in OH

Practice address

150 W Main St
New Albany, OH 43054-9229

Phone

(614) 685-9425

NPI assigned

Sep 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nationwide Children'S Hospital

  • Dental Clinic/Center
  • Columbus, OH
  • NPI 1407013964
  NPD (past)
• Nationwide Children'S Hospital

  • Multi-Specialty Clinic/Center
  • Columbus, OH
  • NPI 1851179873

  Physical Therapy

  NPD (past)
• Fox Valley Physical Therapy and Wellness,LLC

  • Physical Therapist
  • Saint Charles, IL
  • NPI 1619288966
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1962920124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W MAIN ST",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549229",
            "telephone_number": "614-685-9425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "449061865",
            "country_code": "US",
            "telephone_number": "567-307-6008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "499 E Weisheimer Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432142238",
            "country_code": "US",
            "telephone_number": "614-722-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1216 Sunbury Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432192086",
            "country_code": "US",
            "telephone_number": "614-722-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154985",
            "country_code": "US",
            "telephone_number": "614-722-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1481 W Town St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432231379",
            "country_code": "US",
            "telephone_number": "614-722-4515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012471",
            "country_code": "US",
            "telephone_number": "614-722-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 N Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430829105",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6365 Winchester Blvd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431102069",
            "country_code": "US",
            "telephone_number": "614-722-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LULLO",
        "first_name": "KATIE",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019267",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070023306",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OH",
            "license": "PT019267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0484370",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Djell Fabrice Loemba Ndello
• Adolph V Lombardi Jr., MD
• Elizabeth Naish Lonsbrough
• Sadie Elizabeth Lonsbrough
• Cameron Lowther, PT
• M Alexandrunas DMD Pinnacle Dental Inc
• M. Alexandrunas, D. Hudoba Dental 1 Inc
• M. Alexandrunas, DMD-Dental 1, Inc.
• M. Alexandrunas, DMD-Dental 2, Inc.
• Mackenzie Conley Counseling, LLC

• All providers in New Albany, OH
• Pediatric Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.