Active NPI
Kids@Home Therapy Services
- Pediatric Physical Therapist
- Canton, OH
National Provider Identifier
1003114109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 5140
- Legal business name
- KIDS@HOME THERAPY SERVICES
- Practice address
- 701 27TH St NE
Canton, OH 44714-1703 - Phone
- (330) 705-9334
- Fax
- (330) 456-9941
- NPI assigned
- Mar 14, 2011
- Last updated
- Mar 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Ellen Valentino, PHYSICAL THERAPIST
- Title
- Physical Therapist/Owner
- Phone
- (330) 705-9334
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 5140 | OH | Primary |
Addresses
Primary practice location
701 27TH St NE
Canton, OH 44714-1703
Mailing address
701 27TH St NE
Canton, OH 44714-1703
Phone (330) 705-9334
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Canton, OH
- NPI 1639389604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300060800000",
"number": "1003114109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 27TH ST NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447141703",
"telephone_number": "330-705-9334",
"fax_number": "330-456-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 27TH ST NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447141703",
"telephone_number": "330-705-9334",
"fax_number": "330-456-9941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS@HOME THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A",
"authorized_official_last_name": "VALENTINO",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "330-705-9334",
"authorized_official_credential": "PHYSICAL THERAPIST"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": "OH",
"license": "5140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.