Provider Demographics
NPI:1265516918
Name:STENGER, DENNIS JAMES (PT)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:JAMES
Last Name:STENGER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6115 POWERS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5471
Mailing Address - Country:US
Mailing Address - Phone:440-888-7855
Mailing Address - Fax:440-888-7862
Practice Address - Street 1:6115 POWERS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5469
Practice Address - Country:US
Practice Address - Phone:440-888-7855
Practice Address - Fax:440-888-7862
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT# 9938225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHST4196242Medicare UPIN
OHST4196241Medicare UPIN