Healthcare Provider Details

I. General information

NPI: 1164339420
Provider Name (Legal Business Name): JACOB GARETH ZERKLE PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W 10TH AVE
COLUMBUS OH
43210-1280
US

IV. Provider business mailing address

954 SPRING GROVE LN
COLUMBUS OH
43235-3325
US

V. Phone/Fax

Practice location:
  • Phone: 800-293-5066
  • Fax:
Mailing address:
  • Phone: 614-961-2607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT021693
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: