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NPI Code Detail

MEDICARE: KEVIN STRAYER PT

MEDICARE: KEVIN STRAYER PT
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
1225100000XPhysical TherapistPT006869OH
2208100000XPhysical Medicine & Rehabilitation PhysicianPT-006869OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000383462OTHEROHPROVIDER NUMBER
25674502OTHEROHFIRST HEALTH/CCN PROVIDER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376509562
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN STRAYER PT
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number : 630-575-6200
Fax Number :
Provider Business Practice Location Address
First Line : 8805 N MAIN ST STE 110
Second Line :
City : DAYTON
State : OH
Zip : 45415-1333
Country : US
Telephone Number : 937-204-1877
Fax Number : 937-204-1878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 07/08/2021

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Directions to “ KEVIN STRAYER PT” Practice Location

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