Provider Demographics
NPI:1013256593
Name:RINEHART, TESSA J (PTA)
Entity Type:Individual
Prefix:
First Name:TESSA
Middle Name:J
Last Name:RINEHART
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7270 PEA RIDGE RD
Mailing Address - Street 2:APT. 3
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-7915
Mailing Address - Country:US
Mailing Address - Phone:740-649-9226
Mailing Address - Fax:
Practice Address - Street 1:850 NELLIE ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:OH
Practice Address - Zip Code:45123-1567
Practice Address - Country:US
Practice Address - Phone:937-981-2165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPTA.06361225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant