Healthcare Provider Details

I. General information

NPI: 1053312751
Provider Name (Legal Business Name): CINCINNATI PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 GLEN ESTE WITHAMSVILLE RD SUITE 1500
CINCINNATI OH
45245
US

IV. Provider business mailing address

4440 GLEN ESTE WITHAMSVILLE RD SUITE 1500
CINCINNATI OH
45245
US

V. Phone/Fax

Practice location:
  • Phone: 513-753-2133
  • Fax: 513-753-1804
Mailing address:
  • Phone: 513-753-2133
  • Fax: 513-753-1804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateOH

VIII. Authorized Official

Name: MRS. VALLABHA SUDHIR KSHIRSAGAR
Title or Position: PRESIDENT OWNER
Credential: PT, OCS, CHT
Phone: 513-753-2133