Provider Demographics
NPI:1700013729
Name:PLUSH, JONATHAN G (PT)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:G
Last Name:PLUSH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 MOUNT AIRYSHIRE BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1364
Mailing Address - Country:US
Mailing Address - Phone:614-888-7288
Mailing Address - Fax:614-888-7880
Practice Address - Street 1:730 MOUNT AIRYSHIRE BLVD STE C
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1364
Practice Address - Country:US
Practice Address - Phone:614-888-7288
Practice Address - Fax:614-888-7880
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT012454225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1073090510OtherCLINIC NPI
OH0801341Medicaid
OH1740360262OtherCLINIC NPI