Provider Demographics
NPI:1942329941
Name:BARRINGER, JESSE LEE (PTA)
Entity Type:Individual
Prefix:
First Name:JESSE
Middle Name:LEE
Last Name:BARRINGER
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 BREMEN RD SE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-9419
Mailing Address - Country:US
Mailing Address - Phone:740-536-7098
Mailing Address - Fax:
Practice Address - Street 1:2000 REGENCY MANOR CIR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-1777
Practice Address - Country:US
Practice Address - Phone:614-445-8261
Practice Address - Fax:614-445-8050
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH05825225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant