Healthcare Provider Details

I. General information

NPI: 1467978031
Provider Name (Legal Business Name): SPINEFIRST HEALTH AND REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2017
Last Update Date: 08/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 RIVERS EDGE DR STE 101
COLUMBUS OH
43235-1361
US

IV. Provider business mailing address

3322 WINDY FOREST LN
POWELL OH
43065-7382
US

V. Phone/Fax

Practice location:
  • Phone: 614-505-6339
  • Fax:
Mailing address:
  • Phone: 614-505-6339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number013541
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number07344
License Number StateOH

VIII. Authorized Official

Name: NICOLE MARIE URBANSKI
Title or Position: PRESIDENT
Credential: RN
Phone: 614-505-6339