Healthcare Provider Details

I. General information

NPI: 1962614248
Provider Name (Legal Business Name): ENCOMPASS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E BROAD ST
COLUMBUS OH
43205-1381
US

IV. Provider business mailing address

1000 E BROAD ST
COLUMBUS OH
43205-1381
US

V. Phone/Fax

Practice location:
  • Phone: 614-257-0462
  • Fax: 614-257-0433
Mailing address:
  • Phone: 614-257-0462
  • Fax: 614-257-0433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY HEIMAN
Title or Position: PRESIDENT
Credential: P.T.
Phone: 614-257-0462