Healthcare Provider Details
I. General information
NPI: 1477547057
Provider Name (Legal Business Name): PHYSICAL THERAPY OPTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2005
Last Update Date: 02/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10133 SPRINGFIELD PIKE SUITE A
CINCINNATI OH
45215-1428
US
IV. Provider business mailing address
10133 SPRINGFIELD PIKE SUITE A
CINCINNATI OH
45215-1428
US
V. Phone/Fax
- Phone: 513-821-0346
- Fax: 513-821-0231
- Phone: 513-821-0346
- Fax: 513-821-0231
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT2609 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | OT5343 |
| License Number State | OH |
VIII. Authorized Official
Name:
MONICA
FLOWERS
WILKINS
Title or Position: PRESIDENT
Credential: M.H.S., B.S.P.T.
Phone: 513-821-0346