Provider Demographics
NPI:1053312751
Name:CINCINNATI PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:CINCINNATI PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALLABHA
Authorized Official - Middle Name:SUDHIR
Authorized Official - Last Name:KSHIRSAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT, OCS, CHT
Authorized Official - Phone:513-753-2133
Mailing Address - Street 1:4440 GLEN ESTE WITHAMSVILLE RD
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245
Mailing Address - Country:US
Mailing Address - Phone:513-753-2133
Mailing Address - Fax:513-753-1804
Practice Address - Street 1:4440 GLEN ESTE WITHAMSVILLE RD
Practice Address - Street 2:SUITE 1500
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245
Practice Address - Country:US
Practice Address - Phone:513-753-2133
Practice Address - Fax:513-753-1804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
OH261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1568463271OtherNPI #
OH2202226Medicaid
OH1497897862OtherNPI #
OH1619979432OtherNPI #
OH0815452Medicaid
OH1306847959OtherNPI #
OH2693036Medicaid
OH2328743Medicaid
OH261124Medicaid
OH1588761027OtherNPI #
OH0853296Medicaid
OH5349630001OtherDME
OH0703143Medicare PIN
OH1619979432OtherNPI #
OH1497897862OtherNPI #
OH2202226Medicaid
OH4097262Medicare PIN
OH9283241Medicare PIN
OH4054354Medicare PIN
OH0889313Medicare PIN
OH1588761027OtherNPI #
OH5349630001OtherDME
OH4014352Medicare PIN