Eastgate Physical Therapy Limited Partnership

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EASTGATE PHYSICAL THERAPY LIMITED PARTNERSHIP

Practice address

811 Eastgate South Dr
Cincinnati, OH 45245-1547

Phone

(513) 753-0500

Fax

(513) 753-0555

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Christopher D Corrigan, JD

Title

VP/Authorized Official

Phone

(713) 297-7000

Specialties & licenses 2

Addresses

Other names 1

• Summit Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eastgate Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Mount Orab, OH
  • NPI 1356383707

  O20021031000003

  Same enrollment

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Anthony Galvin, MHS PT OCS

  • Physical Therapist
  • Mt Orab, OH
  • NPI 1023077179
  NPD (past)
• Karen Elizabeth Koenig, PT

  • Physical Therapist
  • Mount Orab, OH
  • NPI 1447446851
  NPD (past)
• Jennifer E Lutz, MPT

  • Physical Therapist
  • Mount Orab, OH
  • NPI 1073580155
  NPD (past)
• Tammy Marie Rogers, MPT

  • Physical Therapist
  • Hillsboro, OH
  • NPI 1073574950
  NPD (past)
• Rebecca Mae White, DPT

  • Physical Therapist
  • Mount Orab, OH
  • NPI 1316267628
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1497797740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 EASTGATE SOUTH DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451547",
            "telephone_number": "513-753-0500",
            "fax_number": "513-753-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 EASTGATE SOUTH DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451547",
            "telephone_number": "513-753-0500",
            "fax_number": "513-753-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTGATE PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eastern Personnel Services, Inc
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• Eastgate Health Care Center, LLC
• Eastgate Oral Surgery and Implants
• Eastgate Radiation Oncology LLC
• Eastgate Surgery Center LLC
• Anna Eastman
• Kylie Nicole Eastman
• Iesha Renee Easton

• Physical Therapy Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, 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 May 18, 2010; 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.