Healthcare Provider Details

I. General information

NPI: 1295277796
Provider Name (Legal Business Name): REGINA MCCALL MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2016
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6758 GRAYBIRCH KNL
HAMILTON OH
45011-8590
US

IV. Provider business mailing address

6758 GRAYBIRCH KNL
HAMILTON OH
45011-8590
US

V. Phone/Fax

Practice location:
  • Phone: 513-737-3098
  • Fax:
Mailing address:
  • Phone: 513-737-3098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT009781
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License NumberPT-009781
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: