Healthcare Provider Details

I. General information

NPI: 1265357008
Provider Name (Legal Business Name): OFF THE BENCH PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2541 S. REYNOLDS RD
TOLEDO OH
43614
US

IV. Provider business mailing address

524 DUSSEL DR
MAUMEE OH
43537-2317
US

V. Phone/Fax

Practice location:
  • Phone: 419-407-6514
  • Fax:
Mailing address:
  • Phone: 419-262-2987
  • 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: DILLON PERRY
Title or Position: CO-OWNER
Credential: DPT
Phone: 419-262-2987