=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558747329
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOSHUA ALLEN KEMPTON PT, DPT, AT
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2015
-----------------------------------------------------
Last Update Date | 04/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1216 SUNBURY RD
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43219-2099
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-251-4500
-----------------------------------------------------
Fax | 614-355-6070
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 584 COUNTY LINE RD W
-----------------------------------------------------
City | WESTERVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43082-7245
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-355-6060
-----------------------------------------------------
Fax | 614-355-6070
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 014765
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2251P0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Physical Therapist
-----------------------------------------------------
License Number | PT014765
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------