Healthcare Provider Details

I. General information

NPI: 1851137343
Provider Name (Legal Business Name): RIPLEY STEVENS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2024
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 KARL RD
COLUMBUS OH
43229-3602
US

IV. Provider business mailing address

1210 MINUTEMAN CT
COLUMBUS OH
43220-3418
US

V. Phone/Fax

Practice location:
  • Phone: 614-846-5420
  • Fax:
Mailing address:
  • Phone: 614-531-2158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT020148
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: