Stephen Brasko III

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016520 Issued in OH

Practice address

567 E Main St
Canfield, OH 44406-1547

Phone

(330) 533-1080

NPI assigned

Sep 1, 2016

Last updated

Apr 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-County Physical Therapy Institute LLCGroup PAC ID 0446510184, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Tri-County Physical Therapy Institute LLC

  • Physical Therapist
  • Canfield, OH
  • NPI 1225544307
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1053868596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6283 MCCLINTOCKSBURG RD",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444449247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 E MAIN ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061547",
            "telephone_number": "330-533-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASKO",
        "first_name": "STEPHEN",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Stephen Bonamase, CAA
• Booker T. Bair, MD Inc
• Andrea R Bosnjak
• Lawrence M Bradley
• Gabrielle Brant
• Marnie Marie Bredbenner
• Sarah Faust Briguglio, LPCC
• Carly Alexandra Brown, M.S., CCC-SLP
• Cathy Brown
• Gary Alan Brown, P.T.

• Physical Therapist in Canfield, OH
• Providers in Canfield, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.