Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Pan

Individual provider Physical Therapist · NPI 1639752017

Jack Pan is a Physical Therapist in Centerville, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

70 Rhoads Center Dr Ste A1
Centerville, OH 45458-3886
Phone: (937) 419-3431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016058 (OH)

Record details

NPI number1639752017
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 3, 2021
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021
Mailing address7430 Wilmington Pike, Dayton, OH 45459-5219

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