Provider Demographics
NPI:1962857755
Name:ADKINS, DOUGLAS (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:
Last Name:ADKINS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 ORDERS RD
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-9598
Mailing Address - Country:US
Mailing Address - Phone:614-957-1717
Mailing Address - Fax:
Practice Address - Street 1:3717 ORDERS RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9598
Practice Address - Country:US
Practice Address - Phone:614-957-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT016114225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist