Individual provider Active NPI

Aidan Mlachak

  • Physical Therapist
  • Akron, OH
National Provider Identifier
1083490833
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019910 Issued in OH
Practice address
477 E Market St Ste 100
Akron, OH 44304-1520
Phone
(330) 375-7357
Fax
(234) 867-7451
NPI assigned
Sep 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 019910 OH Primary

Addresses

Primary practice location

477 E Market St Ste 100
Akron, OH 44304-1520

Mailing address

477 E Market St Ste 100
Akron, OH 44304-1520
Phone (330) 375-7357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260430000536 OH Practitioner - Physical Therapist in Private Practice 5698242345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthounited, Inc.Group PAC ID 9032197868, 89 clinicians

Practice addresses (Care Compare)

7442 Frank Ave NW
North Canton, OH 44720-7018
Phone (330) 305-0838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019910OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Jun 23, 2024 Accepting new patients
Meridian Hospitals Corporation PastSince Sep 10, 2023 Accepting new patients

Locations

477 E Market St
Ste 100
Akron, OH 44304
Phone (330) 375-7356

Organizations & group practices 3

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1083490833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 E MARKET ST STE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041520",
            "telephone_number": "330-375-7357",
            "fax_number": "234-867-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E MARKET ST STE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041520",
            "telephone_number": "330-375-7357",
            "fax_number": "234-867-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLACHAK",
        "first_name": "AIDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "019910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.