Healthcare Provider Details

I. General information

NPI: 1902305907
Provider Name (Legal Business Name): KRISTIN MCINTYRE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2018
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 POLARIS PKWY STE 150
WESTERVILLE OH
43082-6092
US

IV. Provider business mailing address

460 POLARIS PKWY STE 150
WESTERVILLE OH
43082-6092
US

V. Phone/Fax

Practice location:
  • Phone: 614-259-0906
  • Fax: 614-259-0618
Mailing address:
  • Phone: 614-259-0906
  • Fax: 614-259-0618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT8169
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT008169
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: