MEDICARE: DUBLIN FAMILY PHYSICAL THERAPY LLC

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

General Provider Information

NPI Number	:	1225570211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUBLIN FAMILY PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	9240 DUBLIN RD
Second Line	:
City	:	POWELL
State	:	OH
Zip	:	43065-9643
Country	:	US
Telephone Number	:	614-379-1120
Fax Number	:

Provider Business Practice Location Address
First Line	:	9240 DUBLIN RD
Second Line	:
City	:	SHAWNEE HILLS
State	:	OH
Zip	:	43065-9643
Country	:	US
Telephone Number	:	614-379-1120
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIMOTHY BLECKE
Credential	:	PT, CERT. MDT, NCS
Telephone Number	:	614-379-1120

Provider Enumeration Date	:	11/08/2016
Last Update Date	:	11/28/2023

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