BIG BLUE CANOPY LLC
NPI 1548820772
Physical Therapist in Blue Ash, OH

Active since June 19, 2019
11230 CORNELL PARK DR, BLUE ASH, OH 45242(513) 880-6800 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2020, Jun 19, 2019 (2 updates tracked since 2019).

About Big Blue Canopy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIG BLUE CANOPY LLC (NPI 1548820772) is a healthcare organization registered as a physical therapist in Blue Ash, Ohio and active in the NPI registry since June 2019. The organization lists Puja Gaitonde, Owner, as its authorized official.

NPPES Registry Identity

NPI1548820772
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameBIG BLUE CANOPY LLC
Location Address11230 CORNELL PARK DRBlue Ash, OH 45242-1825
Mailing Address11230 Cornell Park DrBlue Ash, OH 45242-1825 · (513) 880-6800
Organization SubpartNo
Authorized OfficialPuja GaitondeOwner · (513) 880-6800
Enumeration DateJune 19, 2019
Last NPPES UpdateJune 16, 20202 updates tracked since enumeration
NPPES CertifiedJune 16, 2020
✔ NPI 1548820772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
11230 CORNELL PARK DR, Blue Ash, OH 45242

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Big Blue Canopy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Big Blue Canopy LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Occupational Therapist in Private Practice4
Physical Therapist in Private Practice3
Qualified Speech Language Pathologist3

Clinicians, nearest first (10)

Physical Therapist in Private Practice
NPI 1104180843
11230 CORNELL PARK DR
Blue Ash, OH 45242
(513) 880-6800
Same address
Physical Therapist in Private Practice
NPI 1760769350
11230 CORNELL PARK DR
Blue Ash, OH 45242
(513) 880-6800
Same address
Qualified Speech Language Pathologist
NPI 1750989927
11230 CORNELL PARK DR
Blue Ash, OH 45242
(513) 880-6800
Same address
Occupational Therapist in Private Practice
NPI 1225214083
11230 CORNELL PARK DR
Blue Ash, OH 45242
(513) 880-6800
Same address
Occupational Therapist in Private Practice
NPI 1437492915
11230 CORNELL PARK DR
Blue Ash, OH 45242
(513) 880-6800
Same address
Physical Therapist in Private Practice
NPI 1215444997
7591 TYLERS PLACE BLVD
West Chester, OH 45069
(513) 755-6600
6.0 mi
Occupational Therapist in Private Practice
NPI 1982163663
7591 TYLERS PLACE BLVD
West Chester, OH 45069
(513) 755-6600
6.0 mi
Occupational Therapist in Private Practice
NPI 1356016851
2324 KENILWORTH AVE APT 1
Cincinnati, OH 45212
(513) 850-0034
8.8 mi
Qualified Speech Language Pathologist
NPI 1760153951
3333 BURNET AVE
Cincinnati, OH 45229
(513) 636-6126
11 mi
Qualified Speech Language Pathologist
NPI 1295566222
4710 TIMBER TRAIL DR
Middletown, OH 45044
(513) 423-9496
16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Big Blue Canopy LLC's NPI number?

The NPI number for Big Blue Canopy LLC is 1548820772. It was assigned to this organization in the NPPES registry on June 19, 2019.

Where is Big Blue Canopy LLC located?

Big Blue Canopy LLC is located at 11230 Cornell Park Dr, Blue Ash, OH 45242. The listed phone number is (513) 880-6800.

What is Big Blue Canopy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Big Blue Canopy LLC enrolled in Medicare?

Yes. Big Blue Canopy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Big Blue Canopy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Big Blue Canopy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Occupational Therapist in Private Practice (4), Physical Therapist in Private Practice (3) and Qualified Speech Language Pathologist (3). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Big Blue Canopy LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Big Blue Canopy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Big Blue Canopy LLC was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.