Healthcare Provider Details

I. General information

NPI: 1841572567
Provider Name (Legal Business Name): JOSEPH R ANTINONE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6785 BOBCAT WAY
DUBLIN OH
43016-1408
US

IV. Provider business mailing address

6480 HARRISON AVE STE 201
CINCINNATI OH
45247-7961
US

V. Phone/Fax

Practice location:
  • Phone: 614-890-6555
  • Fax: 614-523-7557
Mailing address:
  • Phone: 513-795-4049
  • Fax: 513-354-7651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT013426
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: