1932497872 NPI number — MS. ALLISON RUTH SOBCZAK PT, DPT

Table of content: MS. ALLISON RUTH SOBCZAK PT, DPT (NPI 1932497872)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932497872 NPI number — MS. ALLISON RUTH SOBCZAK PT, DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SOBCZAK
Provider First Name:
ALLISON
Provider Middle Name:
RUTH
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PT, DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PIRMAN
Provider Other First Name:
ALLISON
Provider Other Middle Name:
RUTH
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT, DPT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1932497872
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4127 SIBLEY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45236-3737
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-733-3370
Provider Business Mailing Address Fax Number:
513-786-7893

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10400 READING RD
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45241-4816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-733-3370
Provider Business Practice Location Address Fax Number:
513-786-7893
Provider Enumeration Date:
07/13/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  013243 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 013243 . This is a "PT LICENSE NUMBER" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com