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

Kyla Jo Tirtonegoro, PTA

Individual provider Physical Therapy Assistant · NPI 1194093096

Kyla Jo Tirtonegoro, PTA is a Physical Therapy Assistant in Cincinnati, Ohio. Licensed in Ohio and Texas. Registered with an NPI since 2011.

Licensed in
OH, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1171 Towne St
Cincinnati, OH 45216-2227
Phone: (513) 242-1360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 07698 (OH)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2078125 (TX)

Record details

NPI number1194093096
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 6, 2011
Last updated in NPPESDecember 6, 2011

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