Healthcare Provider Details

I. General information

NPI: 1124048582
Provider Name (Legal Business Name): COLUMBUS HAND THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 GEMINI PLACE SUITE 200
COLUMBUS OH
43240-6110
US

IV. Provider business mailing address

1210 GEMINI PLACE SUITE 200
COLUMBUS OH
43240-6110
US

V. Phone/Fax

Practice location:
  • Phone: 614-262-0907
  • Fax: 614-262-5269
Mailing address:
  • Phone: 614-262-0907
  • Fax: 614-262-5269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHARON K. NELSON
Title or Position: COORDINATOR OF PRACTICE OPERATIONS
Credential: CPC
Phone: 614-324-8162