Healthcare Provider Details

I. General information

NPI: 1578249157
Provider Name (Legal Business Name): PERKINS SPINE AND SPORTS MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7269 SAWMILL RD STE 150
DUBLIN OH
43016-9613
US

IV. Provider business mailing address

7269 SAWMILL RD STE 150
DUBLIN OH
43016-9613
US

V. Phone/Fax

Practice location:
  • Phone: 614-591-0020
  • Fax: 614-956-7011
Mailing address:
  • Phone: 614-591-0020
  • Fax: 614-956-7011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT PERKINS
Title or Position: OWNER
Credential: MD
Phone: 614-591-0020