NPI 1619862463 · live from the CMS NPI Registry
3 Phase Performance Therapy And Sports
Occupational Therapist in Cecil, OH. National Provider Identifier 1619862463, active.
NPI record
| NPI | 1619862463 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 11154 Road 230, Cecil, OH 45821 |
| Practice phone | 419-438-5026 |
| Enumerated | June 11, 2025 |
| Last updated | June 11, 2025 |
| Authorized official | Seth Bidlack, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.