Provider Demographics
NPI:1225570211
Name:DUBLIN FAMILY PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:DUBLIN FAMILY PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLECKE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, CERT MDT, NCS
Authorized Official - Phone:614-379-1120
Mailing Address - Street 1:9240 DUBLIN RD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9643
Mailing Address - Country:US
Mailing Address - Phone:614-379-1120
Mailing Address - Fax:
Practice Address - Street 1:9240 DUBLIN RD
Practice Address - Street 2:
Practice Address - City:SHAWNEE HILLS
Practice Address - State:OH
Practice Address - Zip Code:43065-9643
Practice Address - Country:US
Practice Address - Phone:614-379-1120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy