Provider Demographics
NPI:1518218874
Name:PROMOTION THERAPY INC.
Entity type:Organization
Organization Name:PROMOTION THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TY
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:330-600-0844
Mailing Address - Street 1:1207 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44654
Mailing Address - Country:US
Mailing Address - Phone:330-600-0844
Mailing Address - Fax:330-674-0717
Practice Address - Street 1:1207 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MILLERSBURG
Practice Address - State:OH
Practice Address - Zip Code:44654
Practice Address - Country:US
Practice Address - Phone:330-600-0844
Practice Address - Fax:330-674-0717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT05846261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0119190Medicaid