Healthcare Provider Details

I. General information

NPI: 1912008947
Provider Name (Legal Business Name): CHRISTOPHER JAMES COTTER P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 E US HIGHWAY 36
URBANA OH
43078-9112
US

IV. Provider business mailing address

1450 E US HIGHWAY 36
URBANA OH
43078-9112
US

V. Phone/Fax

Practice location:
  • Phone: 937-653-7333
  • Fax: 937-652-4574
Mailing address:
  • Phone: 937-653-7333
  • Fax: 937-652-4574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2790
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number2790
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number2790
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number2790
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: