Healthcare Provider Details

I. General information

NPI: 1710109475
Provider Name (Legal Business Name): MARIE A HIGBY P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 06/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 SCHROCK RD SUITE 200
COLUMBUS OH
43229-1146
US

IV. Provider business mailing address

6400 PINEFIELD DR
HILLIARD OH
43026-7745
US

V. Phone/Fax

Practice location:
  • Phone: 614-505-7633
  • Fax:
Mailing address:
  • Phone: 614-519-0059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number007464
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number012540
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: