Provider Demographics
NPI:1114114089
Name:GUENTHNER PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:GUENTHNER PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUENTHNER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:513-923-1700
Mailing Address - Street 1:5557 CHEVIOT RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-7020
Mailing Address - Country:US
Mailing Address - Phone:513-923-1700
Mailing Address - Fax:513-741-6631
Practice Address - Street 1:5557 CHEVIOT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-7020
Practice Address - Country:US
Practice Address - Phone:513-923-1700
Practice Address - Fax:513-741-6631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2502261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0779171Medicaid
OH000000013116OtherANTHEM
OH000000013871OtherANTHEM FEDERAL PIN
OHPT-113-01OtherHUMANA
OH281488769004OtherMEDICAL MUTUAL
OH1590838OtherFEDERAL CLAIM #
OH000000013871OtherANTHEM FEDERAL PIN
OH366642Medicare UPIN