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NPI Code Detail

MEDICARE: MR. JONATHAN G PLUSH PT

MEDICARE: MR. JONATHAN G PLUSH PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT012454OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11073090510OTHEROHCLINIC NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700013729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JONATHAN G PLUSH PT
Provider Business Mailing Address
First Line : 730 MOUNT AIRYSHIRE BLVD STE C
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-1364
Country : US
Telephone Number : 614-888-7288
Fax Number : 614-888-7880
Provider Business Practice Location Address
First Line : 730 MOUNT AIRYSHIRE BLVD STE C
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-1364
Country : US
Telephone Number : 614-888-7288
Fax Number : 614-888-7880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2009
Last Update Date : 04/02/2025

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