Dana Jeter, P.T. L.L.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT4493 Issued in OH

Legal business name

DANA JETER, P.T. L.L.C.

Practice address

938 W Main St
Suite 1
Hillsboro, OH 45133-7484

Phone

(937) 393-9272

Fax

(937) 393-9273

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dana P. Jeter, P.T.

Title

Physical Therapist/Owner

Phone

(937) 393-9272

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeter Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1275647372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 W MAIN ST",
            "address_2": "SUITE 1",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451337484",
            "telephone_number": "937-393-9272",
            "fax_number": "937-393-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 W MAIN ST",
            "address_2": "SUITE 1",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451337484",
            "telephone_number": "937-393-9272",
            "fax_number": "937-393-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA JETER, P.T. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "937-393-9272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT4493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2821683",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeter Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regan Crum
• Mark Cumberland
• Carly Jade Ann Cummings
• Lisa Anne Curtis, OTD, OTR/L
• Connie Sue Dalzell-Tarr, R.N.
• Stacey Dance
• Daniel J. Clark, DDS, Inc.
• Amy Daulton
• Angela Davis
• Brittany Lynn Davis

• Physical Therapy Clinic/Center in Hillsboro, OH
• Providers in Hillsboro, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.