Provider Demographics
NPI:1659476190
Name:MARKSTEIN, LINDA W (PT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:W
Last Name:MARKSTEIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4524 ROSEMONT CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45042-3866
Mailing Address - Country:US
Mailing Address - Phone:937-477-9499
Mailing Address - Fax:513-422-6839
Practice Address - Street 1:4524 ROSEMONT CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45042-3866
Practice Address - Country:US
Practice Address - Phone:937-477-9499
Practice Address - Fax:513-422-6839
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH004169225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2862013Medicaid
OH4035821Medicare PIN
OH000000196493Medicare UPIN