Healthcare Provider Details

I. General information

NPI: 1851237457
Provider Name (Legal Business Name): BRITTANI HOUPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33200 HEALTH CAMPUS BLVD
AVON OH
44011-1481
US

IV. Provider business mailing address

101 E STATE ST
KENNETT SQUARE PA
19348-3109
US

V. Phone/Fax

Practice location:
  • Phone: 440-695-3377
  • Fax:
Mailing address:
  • Phone: 888-269-9876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number6359
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: