MEDICARE: DR. BRIAN EDWARD JANS 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
1	2251S0007X	Sports Physical Therapist	6646	OH
2	2251X0800X	Orthopedic Physical Therapist	6646	OH

General Provider Information

NPI Number	:	1497971964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN EDWARD JANS PT

Provider Business Mailing Address
First Line	:	5833 ALLEN PARK DR
Second Line	:
City	:	TIPP CITY
State	:	OH
Zip	:	45371-8969
Country	:	US
Telephone Number	:	937-667-0907
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 N HYATT ST
Second Line	:	SUITE 102
City	:	TIPP CITY
State	:	OH
Zip	:	45371-1433
Country	:	US
Telephone Number	:	937-440-7152
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	09/11/2025

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