Provider Demographics
NPI:1033947791
Name:CONTE, MICHAEL JARED (PT, DPT)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JARED
Last Name:CONTE
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 1:9849 ROSEDALE MILFORD CENTER RD
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:OH
Mailing Address - Zip Code:43029-9503
Mailing Address - Country:US
Mailing Address - Phone:614-949-4040
Mailing Address - Fax:
Practice Address - Street 1:2260 HENDERSON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2322
Practice Address - Country:US
Practice Address - Phone:614-453-5722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT021140225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist