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IN HOME PEDIATRIC PHYSICAL THERAPY LLC NPI 1750782074


NPI Information

NPI: 1750782074
Provider Name: IN HOME PEDIATRIC PHYSICAL THERAPY LLC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
2468 DYSART RD
UNIVERSITY HEIGHTS, OH
ZIP 44118
Phone: (502) 510-5297
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IN HOME PEDIATRIC PHYSICAL THERAPY LLC is a pediatrics physical therapist in University Heights, OH. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. IN HOME PEDIATRIC PHYSICAL THERAPY LLC NPI is 1750782074. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2468 DYSART RD
UNIVERSITY HEIGHTS, OH
ZIP 44118-445
Phone: (502) 510-5297
Fax: (801) 681-0724

The provider's authorized official is Rose Dues .
The authorized official title is Rose Dues, Pt and has the following contact phone number (502) 510-5297.

The enumeration date for this NPI number is 9/5/2014 and was last updated on 9/5/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatrics012483OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142253OTHEROHIOAPTA BOARD CERTIFIED CLINICAL SPECIALIST PEDIATRICS
2012483OTHEROHIOOHIO PHYSICAL THERAPY LICENSE
3OH3206763OTHEROHIOSTATE OF OHIO DEPARTMENT OF EDUCATION PROFESSIONAL PUPIL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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