Provider Demographics
NPI:1861843922
Name:ONE TO ONE PHYSICAL THERAPY AND PILATES FITNESS LLC
Entity Type:Organization
Organization Name:ONE TO ONE PHYSICAL THERAPY AND PILATES FITNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAKASHIMA
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR PT
Authorized Official - Phone:614-314-5773
Mailing Address - Street 1:4041 N HIGH ST
Mailing Address - Street 2:STE 203 D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3247
Mailing Address - Country:US
Mailing Address - Phone:614-314-5775
Mailing Address - Fax:614-636-4582
Practice Address - Street 1:508 TIBET RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-2232
Practice Address - Country:US
Practice Address - Phone:314-314-5773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-OH08090261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy