Healthcare Provider Details

I. General information

NPI: 1841115367
Provider Name (Legal Business Name): CHRISTOPHER CARENZA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 COMMONS BLVD STE 120
BEAVERCREEK OH
45431-3811
US

IV. Provider business mailing address

3521 QUEEN VICTORIA CT
BEAVERCREEK OH
45431-5707
US

V. Phone/Fax

Practice location:
  • Phone: 937-320-9131
  • Fax:
Mailing address:
  • Phone: 937-853-6033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022615
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: