Provider Demographics
NPI:1003029455
Name:OSU PHYSICAL MEDICINE AND REHABILITATION, LLC
Entity Type:Organization
Organization Name:OSU PHYSICAL MEDICINE AND REHABILITATION, LLC
Other - Org Name:ASSOCIATED PHYSIATRISTS OF CENTRAL OHIO, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:PEASE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-293-3433
Mailing Address - Street 1:480 MEDICAL CENTER DR
Mailing Address - Street 2:1018 DODD HALL
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1229
Mailing Address - Country:US
Mailing Address - Phone:614-293-4734
Mailing Address - Fax:614-293-3809
Practice Address - Street 1:480 MEDICAL CENTER DR
Practice Address - Street 2:1018 DODD HALL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1229
Practice Address - Country:US
Practice Address - Phone:614-293-4734
Practice Address - Fax:614-293-3809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty