Individual provider Active NPI

Cynthia Whipple Rimko, PT

  • Physical Therapist
  • Avon, OH
National Provider Identifier
1104800564
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT06140 Issued in OH
Practice address
35840 Chester Rd
Suite F
Avon, OH 44011-1237
Phone
(440) 937-5210
Fax
(440) 937-5212
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 PT06140 OH Primary

Addresses

Primary practice location

35840 Chester Rd
Suite F
Avon, OH 44011-1237

Mailing address

35020 Fairway Dr
Avon, OH 44011-3302
Phone (440) 937-5446

Other identifiers 3

IdentifierTypeStateIssuer
2617010MedicaidOH
11374589900OtherOHBWC
000000378169OtherOHANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000619 OH Practitioner - Physical Therapist in Private Practice 5193742450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35840 Chester Rd
Suite F
Avon, OH 44011-1240
Phone (440) 937-5210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT06140OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lets Get Physical Therapy Group LLC Physical Therapist CurrentSince Oct 10, 2005 Accepting new patients

Locations

35840 Chester Rd
Ste F
Avon, OH 44011
Phone (440) 937-5210

Organizations & group practices 1

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104800564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35020 FAIRWAY DR",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440113302",
            "telephone_number": "440-937-5446",
            "fax_number": "440-937-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35840 CHESTER RD",
            "address_2": "SUITE F",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111237",
            "telephone_number": "440-937-5210",
            "fax_number": "440-937-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIMKO",
        "first_name": "CYNTHIA",
        "middle_name": "WHIPPLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT06140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2617010",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "11374589900",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000378169",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.