Healthcare Provider Details
I. General information
NPI: 1619621364
Provider Name (Legal Business Name): JONATHAN ESKAY ZINS PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/10/2022
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4449 EASTON WAY STE 200
COLUMBUS OH
43219-7005
US
IV. Provider business mailing address
223 W PACEMONT RD
COLUMBUS OH
43202-1013
US
V. Phone/Fax
- Phone: 614-366-0722
- Fax:
- Phone: 614-561-5533
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251G0304X |
| Taxonomy | Geriatric Physical Therapist |
| License Number | PT019209 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT019209 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: