Healthcare Provider Details

I. General information

NPI: 1255335048
Provider Name (Legal Business Name): ORTHOPAEDIC PHYSICAL THERAPY AND ASSOCIATES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 12/11/2019
Certification Date: 12/11/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 GLENDALE MILFORD RD
CINCINNATI OH
45215-1209
US

IV. Provider business mailing address

1200 GLENDALE MILFORD ROAD
CINCINNATI OH
45215-1209
US

V. Phone/Fax

Practice location:
  • Phone: 513-733-3370
  • Fax: 513-786-7893
Mailing address:
  • Phone: 513-733-3370
  • Fax: 513-786-7893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PHILLIP DONALD CADMAN
Title or Position: CEO
Credential: CEO, PT, DPT
Phone: 513-733-3370