Provider Demographics
NPI:1881279859
Name:YOUR STRENGTH AT HOME
Entity type:Organization
Organization Name:YOUR STRENGTH AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:VERHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:614-506-8773
Mailing Address - Street 1:PO BOX 21382
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-0382
Mailing Address - Country:US
Mailing Address - Phone:614-323-2135
Mailing Address - Fax:
Practice Address - Street 1:1208 HOPE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3551
Practice Address - Country:US
Practice Address - Phone:614-506-8773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty