Provider Demographics
NPI:1275735243
Name:BITTICKER PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:BITTICKER PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:BITTICKER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:330-602-8893
Mailing Address - Street 1:2994 RIDGE RD NE
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-7790
Mailing Address - Country:US
Mailing Address - Phone:330-602-8893
Mailing Address - Fax:
Practice Address - Street 1:2994 RIDGE RD NE
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-7790
Practice Address - Country:US
Practice Address - Phone:330-602-8893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-03643225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty