Provider Demographics
NPI:1528553120
Name:GAHANNA PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:GAHANNA PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:CORNERSTONE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:738 W COSHOCTON ST STE B
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43031-9581
Mailing Address - Country:US
Mailing Address - Phone:740-200-4221
Mailing Address - Fax:
Practice Address - Street 1:738 W COSHOCTON ST STE B
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43031-9581
Practice Address - Country:US
Practice Address - Phone:740-200-4221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-26
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty