Organization Active NPI

Stay Mobile Physical Therapy LLC

  • Physical Therapist
  • Solon, OH
National Provider Identifier
1073106944
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STAY MOBILE PHYSICAL THERAPY LLC
Practice address
7651 White Oak Dr
Solon, OH 44139-5562
Phone
(303) 620-2541
NPI assigned
Feb 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Danielle Jolliff, PTNPI 1487841268
Title
Owner/Physical Therapist
Phone
(330) 620-2541

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7651 White Oak Dr
Solon, OH 44139-5562

Mailing address

7651 White Oak Dr
Solon, OH 44139-5562
Phone (303) 620-2541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210420002229 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294143889 Receives reassigned benefits from 1 practitioner
Practice locations: Solon, OH

National Provider Directory

National Provider Directory

Locations

33595 Bainbridge Rd
Ste 105C
Solon, OH 44139
Phone (440) 462-9370

Practitioners & affiliated clinicians

Practitioners 1

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": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1073106944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 WHITE OAK DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395562",
            "telephone_number": "303-620-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 WHITE OAK DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395562",
            "telephone_number": "303-620-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY MOBILE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "JOLLIFF",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "330-620-2541",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.