Provider Demographics
NPI:1497833008
Name:JONES, KEVIN M (DPT)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:M
Last Name:JONES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5551 HILLIARD ROME OFFICE PARK
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7287
Mailing Address - Country:US
Mailing Address - Phone:614-850-0500
Mailing Address - Fax:614-850-0540
Practice Address - Street 1:5551 HILLIARD ROME OFFICE PARK
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7287
Practice Address - Country:US
Practice Address - Phone:614-850-0500
Practice Address - Fax:614-850-0540
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT 011509225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7833JOOtherREGENCE
WA1303JOOtherREGENCE
WA8524282OtherDSHS
WA8949247OtherL&I CRIME
OH0214940Medicaid
WA0240836OtherL&I
WA8524282OtherDSHS
WAG8876423Medicare PIN