Organization Active NPI

Dublin Family Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Shawnee Hills, OH
National Provider Identifier
1225570211
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DUBLIN FAMILY PHYSICAL THERAPY LLC
Practice address
9240 Dublin Rd
Shawnee Hills, OH 43065-9643
Phone
(614) 379-1120
NPI assigned
Nov 8, 2016
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Blecke, PT, CERT. MDT, NCSNPI 1053453944
Title
Owner
Phone
(614) 379-1120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X OH Primary

Addresses

Primary practice location

9240 Dublin Rd
Shawnee Hills, OH 43065-9643

Mailing address

9240 Dublin Rd
Powell, OH 43065-9643
Phone (614) 379-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170208002478 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628351095 Receives reassigned benefits from 2 practitioners
Practice locations: Galena, OH; Shawnee Hills, OH

National Provider Directory

National Provider Directory
Tax ID family
Dublin Family Phys Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1225570211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 DUBLIN RD",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659643",
            "telephone_number": "614-379-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 DUBLIN RD",
            "city": "SHAWNEE HILLS",
            "state": "OH",
            "postal_code": "430659643",
            "telephone_number": "614-379-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBLIN FAMILY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "BLECKE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-379-1120",
        "authorized_official_credential": "PT, CERT. MDT, NCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.