Provider Demographics
NPI:1861713687
Name:PHYSICAL THERAPY HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:PHYSICAL THERAPY HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:LEO
Authorized Official - Last Name:CHAPLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT MBA
Authorized Official - Phone:440-522-9111
Mailing Address - Street 1:2921 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-2567
Mailing Address - Country:US
Mailing Address - Phone:440-522-9111
Mailing Address - Fax:
Practice Address - Street 1:8515 MENTOR AVE
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-5818
Practice Address - Country:US
Practice Address - Phone:440-255-9355
Practice Address - Fax:440-255-3410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH9055261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy