Healthcare Provider Details

I. General information

NPI: 1780506816
Provider Name (Legal Business Name): GREGG RATTI PROVIDER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

387 SHELBY AVE E
POWELL OH
43065-8639
US

IV. Provider business mailing address

387 SHELBY AVE E
POWELL OH
43065-8639
US

V. Phone/Fax

Practice location:
  • Phone: 614-792-5538
  • Fax: 614-309-4254
Mailing address:
  • Phone: 614-792-5538
  • Fax: 614-309-4254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: