Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jessica A. Prokup, MD

Individual provider Pediatric Neurodevelopmental Disabilities Physician · NPI 1770044653

Dr. Jessica A. Prokup, MD is a Physical Medicine and Rehabilitation in Columbus, Ohio. Graduated from Ohio State University College of Medicine in 2019, 7 years ago. Practices with Osu Physical Medicine and Rehabilitation LLC, a 35-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
7
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2050 Kenny Rd Ste 3300
Columbus, OH 43221-3502
Phone: (614) 366-9211
Fax: (614) 366-2210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence 35147383 (OH)
Pediatric Neurodevelopmental Disabilities Physician Taxonomy 2080P0008X · Licence 35147383 (OH)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 35.147383 (OH)

Record details

NPI number1770044653
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesPEDIATRIC MEDICINE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Osu Physical Medicine And Rehabilitation Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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