IndividualActive
John Forman, PTA
NPI 1952135394 · Physical Therapy Assistant · Centerville, OH
Provider details
- NPI number
- 1952135394
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA013847 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
175 E Alex Bell Rd
Centerville, OH 45459-2701
Phone: (937) 231-1089
Approximate (ZIP-level) locationGet directions
Mailing address
544 Hyde Park Dr
Dayton, OH 45429-5834
Registry dates
- Enumerated
- 2024-08-28
- Last updated
- 2024-08-28
- Certified
- 2024-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.