MEDICARE: JOHN ORBAN L.P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	01146	OH

General Provider Information

NPI Number	:	1205902384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ORBAN L.P.T.

Provider Business Mailing Address
First Line	:	2501 E HIGH ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45505-1410
Country	:	US
Telephone Number	:	937-328-8700
Fax Number	:	937-328-8719

Provider Business Practice Location Address
First Line	:	2501 E HIGH ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45505-1410
Country	:	US
Telephone Number	:	937-328-8700
Fax Number	:	937-328-8719

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	02/22/2026

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