Healthcare Provider Details

I. General information

NPI: 1083785620
Provider Name (Legal Business Name): TRIANGLE THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 W MAIN ST
EATON OH
45320-9520
US

IV. Provider business mailing address

911 W MAIN ST
EATON OH
45320-9520
US

V. Phone/Fax

Practice location:
  • Phone: 937-456-6505
  • Fax: 937-456-6507
Mailing address:
  • Phone: 937-456-6505
  • Fax: 937-456-6507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT 07130
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT 001485
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT 006768
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP 7428
License Number StateOH

VIII. Authorized Official

Name: MS. MARGIE W. BENGE
Title or Position: OWNER
Credential: OTR L
Phone: 937-456-6505