Individual provider · Type 1 NPI

Jessica A. Prokup, MD

Pediatric Rehabilitation Medicine Physician · Columbus, OH

NPI number 1770044653 Active

Practice location

2050 Kenny Rd Ste 3300
Columbus, OH 43221-3502

Fax (614) 366-2210

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559

Other practice locations

  • 700 Childrens Dr, Columbus, OH 43205-2639 · (614) 722-2000
  • 2050 Kenny Rd Fl 2, Columbus, OH 43221-3502 · (614) 293-5123

Specialties and licenses

TaxonomyCodeLicense
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X35147383 (OH)
Physical Medicine & Rehabilitation Physician 208100000X35.147383 (OH)
Pediatric Rehabilitation Medicine Physician Primary 2081P0010X35147383 (OH)

Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…

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About NPI 1770044653

Jessica A. Prokup, MD's National Provider Identifier is 1770044653, issued on Mar 25, 2019. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Columbus, OH. The record was last updated on Jun 23, 2026.