Jaclyn Anthony, PT, DPT
Individual provider Active NPI Physical Therapist · Stow, OH
NPI 1104454891 · NPPES record last updated Mar 30, 2020
Key facts
- NPI
- 1104454891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 010389 (OH)
- Practice address
- 4300 Allen Rd
Stow, OH 44224-1032 - Phone
- (330) 945-3150
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010389 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010389 | OH | Yes |
Addresses
Primary practice location
4300 Allen Rd
Stow, OH 44224-1032
Mailing address
4300 Allen Rd
Stow, OH 44224-1032
Phone (330) 945-3150
Other names
- Jaclyn Schiavone
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | anthonj3@ccf.org | Health Information Exchange (HIE) | |
| CONNECT URL | anthonj3@ccf.org |
Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.