Active NPI
Roman Mamus
- Physical Therapist
- Brunswick, OH
National Provider Identifier
1083324990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019085
- Practice address
- 3574 Center Rd
Brunswick, OH 44212-3618 - Phone
- (330) 225-8886
- NPI assigned
- Dec 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT019085 | OH | Primary |
Addresses
Primary practice location
3574 Center Rd
Brunswick, OH 44212-3618
Mailing address
9008 Munich Dr
Parma, OH 44130-7604
Phone (216) 334-4339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019085 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1083324990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9008 MUNICH DR",
"city": "PARMA",
"state": "OH",
"postal_code": "441307604",
"telephone_number": "216-334-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3574 CENTER RD",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442123618",
"telephone_number": "330-225-8886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMUS",
"first_name": "ROMAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-01",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT019085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.