DR. EVAN ALLEN ROSS (PT, DPT) – Physical Therapist, NPI 1245679752

DR. EVAN ALLEN ROSS (PT, DPT) is a healthcare provider. based in Blacklick, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 14338 (OH). The NPI Number for DR. EVAN ALLEN ROSS (PT, DPT) is 1245679752

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVAN ALLEN ROSS (PT, DPT)
NPI
1245679752
Phone
(740) 607-9670
Address
303 PRISTINE PATH
Enumeration Date
18 June 2013
Last Update Date
18 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6148668158
Graduation Year
2013 (13 years ago)
PAC ID
2466709902
Group Practice PAC ID
9739192147
Professional Enrollment ID
I20181101000561
Address ID
OH432123882GR800XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for DR. EVAN ALLEN ROSS (PT, DPT)

  • 303 PRISTINE PATH

    BLACKLICK, OH 430048303

    Phone: (740) 607-9670

    Type: Mailing

  • 5323 HENDRON RD

    GROVEPORT, OH 431251055

    Phone: (614) 836-2349

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181101000561IPhysical Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739192147View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH
Occupational Therapist In Private Practice, Qualified Speech Language PathologistOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What is the standard ID for DR. EVAN ALLEN ROSS (PT, DPT) in the U.S.?
In the U.S., DR. EVAN ALLEN ROSS (PT, DPT) is identified by NPI 1245679752.
Is DR. EVAN ALLEN ROSS (PT, DPT)'s NPI status active today?
Active status means DR. EVAN ALLEN ROSS (PT, DPT)'s NPI record is not deactivated in the public file.
How should patients interpret DR. EVAN ALLEN ROSS (PT, DPT)'s specialty?
The extract shows Physical Therapist for DR. EVAN ALLEN ROSS (PT, DPT). Clinical services aligned with this taxonomy classification.
Is DR. EVAN ALLEN ROSS (PT, DPT) tied to Blacklick, Ohio?
If you are local to Blacklick, Ohio, DR. EVAN ALLEN ROSS (PT, DPT) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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