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NPI Code Detail

MEDICARE: THE THERAPY SOURCE, INC.

MEDICARE: THE THERAPY SOURCE, 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
1225X00000XOccupational Therapist
2225XH1200XHand Occupational Therapist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20827200001OTHEROHDMEPOS MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568457638
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE THERAPY SOURCE, INC.
Provider Business Mailing Address
First Line : 6480 HARRISON AVE STE 301
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7961
Country : US
Telephone Number : 513-574-5400
Fax Number : 513-574-6222
Provider Business Practice Location Address
First Line : 6480 HARRISON AVE
Second Line : SUITE 301
City : CINCINNATI
State : OH
Zip : 45247-7961
Country : US
Telephone Number : 513-574-5400
Fax Number : 513-574-6222
Authorized Official
Title or Position : OFFICE MANAGER
Name : MINDY HEIL
Credential :
Telephone Number : 513-574-5400
Provider Enumeration Date : 09/15/2005
Last Update Date : 03/01/2024

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1205826161 — DR. PETER SHIN CHA M.D.
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1063402949 — DR. HENRY ALBERT STIENE M.D.
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Directions to “THE THERAPY SOURCE, INC. ” Practice Location

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