Provider Demographics
NPI:1184390304
Name:JANSZEN, CHAD (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:JANSZEN
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 1:7980 HATHERTON PL
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:OH
Mailing Address - Zip Code:43021-7061
Mailing Address - Country:US
Mailing Address - Phone:614-653-5370
Mailing Address - Fax:
Practice Address - Street 1:323 E TOWN ST STE 1040
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4774
Practice Address - Country:US
Practice Address - Phone:614-897-0449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT0194722251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic