Provider Demographics
NPI:1548467368
Name:OHIO UNIVERSITY THERAPY ASSOCIATES
Entity type:Organization
Organization Name:OHIO UNIVERSITY THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, OU THERAPY ASSOCIATES
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:TROTTA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS, GCS
Authorized Official - Phone:740-593-0820
Mailing Address - Street 1:OHIO UNIVERSITY
Mailing Address - Street 2:GROVER CENTER W-290
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-2979
Mailing Address - Country:US
Mailing Address - Phone:740-593-0820
Mailing Address - Fax:740-593-0292
Practice Address - Street 1:OHIO UNIVERSITY THERAPY ASSOCIATES
Practice Address - Street 2:GROVER CENTER W-290
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2979
Practice Address - Country:US
Practice Address - Phone:740-593-0820
Practice Address - Fax:740-593-0292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty