Provider Demographics
NPI:1477547057
Name:PHYSICAL THERAPY OPTIONS, INC.
Entity Type:Organization
Organization Name:PHYSICAL THERAPY OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:FLOWERS
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MHS, BSPT
Authorized Official - Phone:513-821-0346
Mailing Address - Street 1:10133 SPRINGFIELD PIKE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1428
Mailing Address - Country:US
Mailing Address - Phone:513-821-0346
Mailing Address - Fax:513-821-0231
Practice Address - Street 1:10133 SPRINGFIELD PIKE
Practice Address - Street 2:SUITE A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1428
Practice Address - Country:US
Practice Address - Phone:513-821-0346
Practice Address - Fax:513-821-0231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT2609225100000X
OHOT5343225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2315060Medicaid
OHPT127OtherCHOICECARE/HUMANA
OH291580676002OtherMEDICAL MUTUAL
OH000000013222OtherANTHEM
OH2315060OtherBCMH
OH000000013222OtherANTHEM
OH=========00OtherBUREAU OF WORKERS COMP