MEDICARE: CINCINNATI PHYSICAL THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center		OH
2	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1568463271	OTHER	OH	NPI #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1497897862	OTHER	OH	NPI #
4	1619979432	OTHER	OH	NPI #
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1306847959	OTHER	OH	NPI #
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	1588761027	OTHER	OH	NPI #
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	5349630001	OTHER	OH	DME

General Provider Information

NPI Number	:	1053312751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CINCINNATI PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	4440 GLEN ESTE WITHAMSVILLE RD
Second Line	:	SUITE 1500
City	:	CINCINNATI
State	:	OH
Zip	:	45245
Country	:	US
Telephone Number	:	513-753-2133
Fax Number	:	513-753-1804

Provider Business Practice Location Address
First Line	:	4440 GLEN ESTE WITHAMSVILLE RD
Second Line	:	SUITE 1500
City	:	CINCINNATI
State	:	OH
Zip	:	45245
Country	:	US
Telephone Number	:	513-753-2133
Fax Number	:	513-753-1804

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	MRS. VALLABHA SUDHIR KSHIRSAGAR
Credential	:	PT, OCS, CHT
Telephone Number	:	513-753-2133

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	07/21/2022

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