Provider Demographics
NPI:1255638078
Name:NIGHSWANDER, BRITTNEY M (PT)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:M
Last Name:NIGHSWANDER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:M
Other - Last Name:FARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5001 TRANSPORTATION DR STE 202
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44054-2850
Mailing Address - Country:US
Mailing Address - Phone:440-329-2890
Mailing Address - Fax:440-329-2885
Practice Address - Street 1:5001 TRANSPORTATION DR STE 202
Practice Address - Street 2:
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44054-2850
Practice Address - Country:US
Practice Address - Phone:440-329-2890
Practice Address - Fax:440-329-2885
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT013158225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist