Individual provider Active NPI

Marissa Anne Kleilein, PT, DPT

  • Orthopedic Physical Therapist
  • Gahanna, OH
National Provider Identifier
1992351951
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT018265 Issued in OH
Practice address
605 Crescent PL
Gahanna, OH 43230-3086
Phone
(614) 545-7900
Fax
(614) 545-7901
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT018265 OH Primary

Addresses

Primary practice location

605 Crescent PL
Gahanna, OH 43230-3086

Mailing address

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

Other practice location 1

4611 Trueman Blvd
Hilliard, OH 43026-2644
Phone (614) 340-0683

Other names 1

  • Dr. Marissa Anne McDonald Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Medent
Other URL TherapySource

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003002029 OH Practitioner - Physical Therapist in Private Practice 6305177411 Reassigns benefits to 2 organizations

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 Aug 12, 2019 Accepting new patients
Ohrh, LLC Current Accepting new patients
Orthopedic One, Inc. CurrentSince Aug 12, 2019 Accepting new patients
Ohrh, LLC CurrentSince Aug 5, 2019 Accepting new patients
Ohrh, LLC Orthopedic CurrentSince Aug 5, 2019 Accepting new patients

Locations

3705 Olentangy River Rd
Ste 260
Columbus, OH 43214
Phone (614) 407-8552

170 Taylor Station Rd
Columbus, OH 43213
Phone (614) 545-7910

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

605 Crescent Pl
Gahanna, OH 43230

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

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

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

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1992351951",
    "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": "605 CRESCENT PL",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303086",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4611 Trueman Blvd",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430262644",
            "country_code": "US",
            "telephone_number": "614-340-0683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEILEIN",
        "first_name": "MARISSA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT018265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Medent",
            "affiliation": "N",
            "address_1": "4611 Trueman Blvd",
            "city": "Hilliard",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430262644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TherapySource",
            "affiliation": "N",
            "address_1": "3705 Olentangy River Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "MCDONALD",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gahanna, OH

Sources for this page

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