Healthcare Provider Details

I. General information

NPI: 1609721521
Provider Name (Legal Business Name): SEBASTIAN MICHAEL OSLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3773 OLENTANGY RIVER RD
COLUMBUS OH
43214-3425
US

IV. Provider business mailing address

3773 OLENTANGY RIVER RD
COLUMBUS OH
43214-3425
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-3810
  • Fax:
Mailing address:
  • Phone: 614-566-3810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022188
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: