Healthcare Provider Details

I. General information

NPI: 1356900617
Provider Name (Legal Business Name): DANIEL ROTELLA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1391 DUBLIN RD
COLUMBUS OH
43215-1084
US

IV. Provider business mailing address

7710 OLENTANGY RIVER RD STE 100
COLUMBUS OH
43235-1353
US

V. Phone/Fax

Practice location:
  • Phone: 614-478-9715
  • Fax:
Mailing address:
  • Phone: 614-841-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT017978
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: