Healthcare Provider Details

I. General information

NPI: 1245113752
Provider Name (Legal Business Name): ELENA MULREADY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5156 N BEND XING
CINCINNATI OH
45247-3106
US

IV. Provider business mailing address

3541 RAWSON PL
CINCINNATI OH
45209-1404
US

V. Phone/Fax

Practice location:
  • Phone: 513-661-4100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT021071
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: