Dr. Dominic Ilardi
Physical Therapist - Sports
539 Flarestar Ave Unit F
Columbus
, Ohio 43240-2272
Dr. Dominic Ilardi
Physical Therapist - Sports
539 Flarestar Ave Unit F
Columbus
, Ohio 43240-2272
(808) 312-8172
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Dr. Dominic Ilardi
- 539 Flarestar Ave Unit F
- Columbus, OH
- Zip : 43240-2272
- Phone : (808) 312-8172
Second Address
- Dr. Dominic Ilardi
- 539 Flarestar Ave Unit F
- Columbus, OH
- Zip : 43240-2272
- Phone : (808) 312-8172
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 018186 | OH |
National Provider Identifier
| NPI | 1154912574 |
|---|---|
| Provider Name | Dr. Dominic Ilardi |
| First Address | Columbus, OH 43240-2272 |
| Second Address | Columbus, OH 43240-2272 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2021 |
| Last Update Date | 28/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.