Provider Demographics
NPI:1255335048
Name:ORTHOPAEDIC PHYSICAL THERAPY AND ASSOCIATES INC.
Entity type:Organization
Organization Name:ORTHOPAEDIC PHYSICAL THERAPY AND ASSOCIATES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:CADMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO, PT, DPT
Authorized Official - Phone:513-733-3370
Mailing Address - Street 1:1200 GLENDALE MILFORD ROAD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1209
Mailing Address - Country:US
Mailing Address - Phone:513-733-3370
Mailing Address - Fax:513-786-7893
Practice Address - Street 1:1200 GLENDALE MILFORD RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1209
Practice Address - Country:US
Practice Address - Phone:513-733-3370
Practice Address - Fax:513-786-7893
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHOPAEDIC PHYSICAL THERAPY AND ASSOCIATES INC DBA: PREMIER PHYSICAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-09
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2630219Medicaid
OH9301861Medicare PIN
9301861Medicare UPIN