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NPI Code Detail

MEDICARE: MR. TIMOTHY JOHN ENWRIGHT PT

MEDICARE: MR. TIMOTHY JOHN ENWRIGHT PT
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
1225100000XPhysical TherapistPT005706OH

General Provider Information

NPI Number : 1982543948
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TIMOTHY JOHN ENWRIGHT PT
Provider Business Mailing Address
First Line : 616 LAURELWOOD DR
Second Line :
City : CLEVES
State : OH
Zip : 45002-2306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 965 HIGH ST
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-4057
Country : US
Telephone Number : 614-784-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ MR. TIMOTHY JOHN ENWRIGHT PT” Practice Location

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