Provider Demographics
NPI:1275127656
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:PAUL
Authorized Official - Last Name:BLECKE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, NCS, CERT MDT
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:740-834-9911
Mailing Address - Fax:614-573-0502
Practice Address - Street 1:5229 CHESHIRE RD
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:OH
Practice Address - Zip Code:43021-9407
Practice Address - Country:US
Practice Address - Phone:740-834-9911
Practice Address - Fax:614-573-0502
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUBLIN FAMILY PHYSICAL THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-25
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty