Cerisse Tucker, PTA

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

09429 Issued in OH

Practice address

15604 Steinway Blvd
Maple Heights, OH 44137-4629

Phone

(216) 326-1109

NPI assigned

Mar 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1043602998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15604 STEINWAY BLVD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374629",
            "telephone_number": "216-326-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15604 STEINWAY BLVD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374629",
            "telephone_number": "216-326-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CERISSE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "09429",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OH",
            "license": "09429",
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "OH",
            "license": "09429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Treadwell
• Michelle Trotta, M.S., CCC-SLP
• Trusting Hands LLC
• Gary Joel Truxton, D.D.S.
• Ashlee Tucker
• Paige Tuma, CT BA
• Darniyah Keasya Turner I
• Amber Tye
• Tyline M. Hood
• Brittany Tyson

• Pediatric Skilled Nursing Facility in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Pediatric Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.