Provider Demographics
NPI:1982254942
Name:OHIO VALLEY SPORTS AND PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:OHIO VALLEY SPORTS AND PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRYNIARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:740-338-9698
Mailing Address - Street 1:339 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43912-1353
Mailing Address - Country:US
Mailing Address - Phone:740-609-7225
Mailing Address - Fax:740-609-7226
Practice Address - Street 1:339 MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:OH
Practice Address - Zip Code:43912-1353
Practice Address - Country:US
Practice Address - Phone:740-609-7225
Practice Address - Fax:740-609-7226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy