JAMIE LYNN KING (PT, DPT) – Physical Therapist, NPI 1679113617

JAMIE LYNN KING (PT, DPT) is a healthcare provider. based in Canal winchester, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT018378 (OH). The NPI Number for JAMIE LYNN KING (PT, DPT) is 1679113617

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE LYNN KING (PT, DPT)
NPI
1679113617
Phone
(614) 775-9618
Address
11945 LITHOPOLIS RD NW
Enumeration Date
7 January 2020
Last Update Date
8 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7407855231
Graduation Year
2019 (7 years ago)
PAC ID
4587085337
Group Practice PAC ID
4385783083
Professional Enrollment ID
I20200602002738
Address ID
OH431308124LA1506XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,263 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for JAMIE LYNN KING (PT, DPT)

  • 11945 LITHOPOLIS RD NW

    CANAL WINCHESTER, OH 431109585

    Phone: (614) 775-9618

    Type: Mailing

  • 1045 BEECHER XING N STE C

    GAHANNA, OH 432304573

    Phone: (614) 775-9618

    Type: Location

  • 6275 WHITE HART LN UNIT 301

    WESTERVILLE, OH 430817606

    Phone: (419) 494-2270

    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: 2020-06-02

PECOS data refreshed: 2026-06-15

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
I20200602002738IPhysical 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 43110)

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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: 4385783083View full group profile
NameSpecialtyState
Internal MedicineOH
Physician AssistantOH
Sports Medicine, Family PracticeOH
Internal MedicineOH
Family PracticeOH
Family PracticeOH
Orthopedic SurgeryOH
Internal MedicineOH
-OH
Family PracticeUT

Reviews

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Frequently asked questions

What is the registry number for JAMIE LYNN KING (PT, DPT)?
The registry entry for JAMIE LYNN KING (PT, DPT) shows NPI 1679113617.
Should I treat JAMIE LYNN KING (PT, DPT) as an active provider?
Patients and plans typically see JAMIE LYNN KING (PT, DPT) as active in the national extract.
What services align with JAMIE LYNN KING (PT, DPT)'s listing?
JAMIE LYNN KING (PT, DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JAMIE LYNN KING (PT, DPT) tied to Canal Winchester, Ohio?
If you are local to Canal Winchester, Ohio, JAMIE LYNN KING (PT, DPT) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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