Healthcare Provider Details

I. General information

NPI: 1528405214
Provider Name (Legal Business Name): KATIE N WILEY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE N LITMER PT

II. Dates (important events)

Enumeration Date: 06/04/2013
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6397 EMERALD PKWY
DUBLIN OH
43016-2200
US

IV. Provider business mailing address

PO BOX 734439
CHICAGO IL
60673-4439
US

V. Phone/Fax

Practice location:
  • Phone: 614-383-6450
  • Fax: 614-383-6455
Mailing address:
  • Phone: 614-383-6450
  • Fax: 614-383-6455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 014295
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: