Individual provider Active NPI

John West, P.T.

  • Physical Therapist
  • South Euclid, OH
National Provider Identifier
1023552809
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209088 Issued in VA
Practice address
1219 Dorsh Rd
South Euclid, OH 44121-3835
Phone
(216) 598-3291
NPI assigned
Dec 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X OH-001954 OH
Physical Therapist 225100000X 2305209088 VA Primary

Addresses

Primary practice location

1219 Dorsh Rd
South Euclid, OH 44121-3835

Mailing address

1219 Dorsh Rd
South Euclid, OH 44121-3835
Phone (216) 598-3291

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170214002356 VA Practitioner - Physical Therapist in Private Practice 0244513463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hussey and Lawson Therapies, IncGroup PAC ID 3971674177, 5 clinicians

Practice addresses (Care Compare)

817 Woodland Dr
Stuart, VA 24171-1560
Phone (276) 632-5281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH-001954OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hussey & Lawson Therapies, Inc Physical Therapist CurrentSince May 6, 2022 Accepting new patients
Family YMCA, Inc. Physical Therapist Past Accepting new patients

Locations

3 Starling Ave
Martinsville, VA 24112
Phone (276) 632-5281

301 Lavinder St
Martinsville, VA 24112
Phone (276) 632-5281

817 Woodland Dr
Stuart, VA 24171
Phone (276) 694-3151

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1023552809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 DORSH RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213835",
            "telephone_number": "216-598-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 DORSH RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213835",
            "telephone_number": "216-598-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JOHN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "OH-001954",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.