BRYAN KEITH PETTIT (NPI# 1841487972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841487972 |
| Entity Type | Individual |
| Full Name | BRYAN KEITH PETTIT |
| Credential | R.N., CCM |
| Practice Address |
5555 Glendon Ct Dublin OH 43016-3249 |
| Mailing Address |
Po Box 474 Jackson OH 45640-0474 |
| Practice Telephone | 8776412010 |
| Mailing Telephone | 7402868646 |
| Mailing Fax Number | 7402864676 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OH BOARD OF NURSING | RN262281 | 01 |
| OH | CCM | 00049080 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710298146 | Bryan Pettit | Pharmacist | 475 E Washington St, North Attleboro, MA 02760-2310 | 2010-06-30 |
| Street Address |
5555 GLENDON CT |
| City | DUBLIN |
| State | OH |
| Zip Code | 43016-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447310800 | Roshni D'souza-di Stefano | Physical Therapist | 5555 Glendon Ct, Dublin, OH 43016-3249 | 2006-12-08 |
| 1538432331 | Vocworks | Exclusive Provider Organization | 5555 Glendon Ct, Dublin, OH 43016-3304 | 2012-02-10 |
| 1952571051 | Judy Ann Spratlen | Rehabilitation Counselor | 5555 Glendon Ct, Dublin, OH 43016-3304 | 2008-03-04 |
| 1659566024 | Deborah A. Coleman | Specialist | 5555 Glendon Ct, Dublin, OH 43016-3249 | 2007-09-10 |
| 1023202595 | Gina Maureen Reynolds | Registered Nurse | 5555 Glendon Ct, Dublin, OH 43016-3249 | 2007-08-28 |
| 1063614667 | Darla Lynette Elsner | Registered Nurse | 5555 Glendon Ct, Dublin, OH 43016-3249 | 2007-06-05 |
| 1326240987 | Amy L Corrigan | Case Manager/Care Coordinator | 5555 Glendon Ct, Dublin, OH 43016-3249 | 2007-06-04 |
| 1396952685 | Vocworks | Exclusive Provider Organization | 5555 Glendon Ct, Dublin, OH 43016-3249 | 2007-05-17 |
| 1265651921 | Gina M Lopresti | Case Manager/Care Coordinator | 5555 Glendon Ct, Dublin, OH 43016-3249 | 2007-04-24 |
| 1902025463 | Barbara Gardner | Case Manager/Care Coordinator | 5555 Glendon Ct, Dublin, OH 43016-3249 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851862403 | Physicians Wellness Group LLC | Family Medicine | 6275 Emerald Parkway, Dublin, OH 43016 | 2018-12-07 |
| 1336670504 | Anita Zhang | Home Health Aide | 6731 Park Mill Dr, Dublin, OH 43016 | 2017-03-21 |
| 1356887277 | Michael Suplicki | Chiropractor | 6425 Post Rd., Suite 101, Dublin, OH 43016 | 2017-01-17 |
| 1881065902 | Lefebvre Eyecare LLC | Optometrist | 5752 Frantz Road, Dublin, OH 43016 | 2015-10-15 |
| 1770995508 | Michelle Martine Meyer | Nurse Practitioner | 7243 Sawmill Rd Ste 105, Dublin, OH 43016 | 2014-05-28 |
| 1386984730 | Psychological Sleep Services | Psychologist | 6500 Emerald Pkwy Ste 100, Dublin, OH 43016 | 2013-02-21 |
| 1760757629 | Allison K Loft | Nurse Practitioner | 7275 Sawmil Road, Dublin, OH 43016 | 2012-03-12 |
| 1851543821 | Mark Alan O'banion | Dentist | 6670 Perimeter Drive, Suite 250, Dublin, OH 43016 | 2008-10-21 |
| 1467617548 | Nicole Ashley Morgan | Home Health Aide | 3919 Dundrum Dr, Dublin, OH 43016 | 2008-07-28 |
| 1952578338 | Central Ohio Urology Group LLC | Urology | 7405 Hospital Drive, Suite 350, Dublin, OH 43016 | 2008-05-14 |
| Find all providers in zip 43016 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245655414 | Brittany Fleming | Rehabilitation Practitioner | 6085 Emerald Pkwy, Dublin, OH 43016-3269 | 2014-02-25 |
| 1518995216 | Rehab Advantage and Sports Medicine, Inc | Rehabilitation Practitioner | 911 Hillcrest Pkwy, Dublin, GA 31021-4207 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554064 | Nicole Ann Macke | Rehabilitation Practitioner | 7811 Locust Ln, Cincinnati, OH 45243-1909 | 2019-02-12 |
| 1417413725 | Emily Birnbrich | Rehabilitation Practitioner | 349 Saddle Path Ln N, Pataskala, OH 43062-8930 | 2019-02-12 |
| 1053876128 | Jane Marie Kubala | Rehabilitation Practitioner | 13982 State Route 550, Fleming, OH 45729-5048 | 2019-02-04 |
| 1518422674 | Ashley Lucille Tschudy | Rehabilitation Practitioner | 4560 Moravian Church Rd Se, New Philadelphia, OH 44663-6872 | 2019-02-04 |
| 1497210728 | Jalea Caldwell | Rehabilitation Practitioner | 110 Lake Front Rd, Oak Hill, OH 45656-9326 | 2019-01-31 |
| 1376007153 | Courtney Shane Wears | Rehabilitation Practitioner | 28600 Torch Rd, Coolville, OH 45723-9024 | 2019-01-25 |
| 1467982579 | Med Clinic of Columbus | Rehabilitation Practitioner | 500 E Main St Ste 105a, Columbus, OH 43215-5369 | 2017-06-13 |
| 1922538024 | Ohio Medical Clinic | Rehabilitation Practitioner | 580 Lincoln Park Blvd Ste 100, Kettering, OH 45429-3490 | 2017-06-13 |
| 1467982561 | Med Clinic of Dayton | Rehabilitation Practitioner | 580 Lincoln Park Blvd Ste 100a, Kettering, OH 45429-3474 | 2017-06-13 |
| 1245646165 | Serenity Brown | Rehabilitation Practitioner | 785 Elizabeth Ave, Columbus, OH 43227-1038 | 2014-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.