Healthcare Provider Details

I. General information

NPI: 1982158275
Provider Name (Legal Business Name): PILATES FITNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2016
Last Update Date: 08/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 TIBET RD
COLUMBUS OH
43202-2232
US

IV. Provider business mailing address

4041 N HIGH ST STE 203 D
COLUMBUS OH
43214-3247
US

V. Phone/Fax

Practice location:
  • Phone: 614-314-5773
  • Fax:
Mailing address:
  • Phone: 614-314-5773
  • Fax: 614-636-4582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT-OH08090
License Number StateOH

VIII. Authorized Official

Name: KAREN TAKASHIMA
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: DOCTOR PT
Phone: 614-314-5773