Organization Active NPI

Precision Physical Therapy, LLC

  • Rehabilitation Clinic/Center
  • Warren, OH
National Provider Identifier
1003114273
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
PT 08632 Issued in OH
Legal business name
PRECISION PHYSICAL THERAPY, LLC
Practice address
8323 E Market St
Warren, OH 44484-2342
Phone
(330) 609-5533
Fax
(330) 609-5553
NPI assigned
Mar 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Tonya Lucente
Title
Office Manager
Phone
(330) 609-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X PT 08632 OH Primary

Addresses

Primary practice location

8323 E Market St
Warren, OH 44484-2342

Mailing address

8323 E Market St
Warren, OH 44484-2342
Phone (330) 609-5533

Other identifiers 2

IdentifierTypeStateIssuer
0052112MedicaidOH
H012190OtherOHMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110914000732 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456522838 Receives reassigned benefits from 5 practitioners
Practice locations: Youngstown, OH; Warren, OH

National Provider Directory

National Provider Directory

Locations

8323 E Market St
Ste 1
Warren, OH 44484

540 Parmalee Ave
Ste 300
Youngstown, OH 44510
Phone (330) 376-4891

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1003114273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842342",
            "telephone_number": "330-609-5533",
            "fax_number": "330-609-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8323 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842342",
            "telephone_number": "330-609-5533",
            "fax_number": "330-609-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "LUCENTE",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-609-5533",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "OH",
            "license": "PT 08632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052112",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H012190",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.