Healthcare Provider Details

I. General information

NPI: 1689631012
Provider Name (Legal Business Name): DAVID A STEJBACH DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7592 COX LN
WEST CHESTER OH
45069-6519
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 513-233-7400
  • Fax: 513-755-1200
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT009171
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: