Healthcare Provider Details

I. General information

NPI: 1083283428
Provider Name (Legal Business Name): JOSEPH DOMINIC PARISI PT, DPT, ATC, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 04/28/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4605 SAWMILL RD
UPPER ARLINGTON OH
43220-2246
US

IV. Provider business mailing address

PO BOX 920120
DALLAS TX
75392-0120
US

V. Phone/Fax

Practice location:
  • Phone: 614-827-8700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number28502
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT019149
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: