Healthcare Provider Details

I. General information

NPI: 1558293654
Provider Name (Legal Business Name): LAINAHEALTH NEW JERSEY PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 METRO PL S STE 320
DUBLIN OH
43017-5399
US

IV. Provider business mailing address

495 METRO PL S STE 320
DUBLIN OH
43017-5399
US

V. Phone/Fax

Practice location:
  • Phone: 888-599-5585
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: THANOS PAPAVASILIOU
Title or Position: PRESIDENT
Credential:
Phone: 888-599-5585