Healthcare Provider Details

I. General information

NPI: 1518218585
Provider Name (Legal Business Name): LINDA MARKSTEIN PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2012
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4524 ROSEMONT CT
MIDDLETOWN OH
45042-3866
US

IV. Provider business mailing address

4524 ROSEMONT CT
MIDDLETOWN OH
45042-3300
US

V. Phone/Fax

Practice location:
  • Phone: 937-477-9499
  • Fax: 513-422-6839
Mailing address:
  • Phone: 937-477-9499
  • Fax: 513-422-6839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number004169
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number004169
License Number StateOH

VIII. Authorized Official

Name: LINDA MARKSTEIN
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 937-477-9499