Individual provider Active NPI

Efim Scherbakov, LMT, LPTA

  • Specialist
  • Fairlawn, OH
National Provider Identifier
1104965698
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PTA .03673 Issued in OH
Practice address
83 N Miller Rd Ste 104
Fairlawn, OH 44333-3729
Phone
(330) 808-0661
NPI assigned
Feb 5, 2007
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PTA .03673 OH Primary
Specialist 174400000X LMT 33. 009335 OH

Addresses

Primary practice location

83 N Miller Rd Ste 104
Fairlawn, OH 44333-3729

Mailing address

135 Brookrun Dr
Copley, OH 44321-1374
Phone (330) 808-0661

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

LicenseStateTypeSpecialty
LMT 33. 009335OHMDSpecialist
PTA .03673OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Choose US LLC Current Accepting new patients
Summit Help LLC Specialist Current Accepting new patients
Community Physical Therapy, LLC Current Accepting new patients

Locations

83 N Miller Rd
Ste 104
Fairlawn, OH 44333
Phone (330) 328-7759

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1104965698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BROOKRUN DR",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211374",
            "telephone_number": "330-808-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 N MILLER RD STE 104",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333729",
            "telephone_number": "330-808-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERBAKOV",
        "first_name": "EFIM",
        "name_prefix": "Mr.",
        "credential": "LMT, LPTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "PTA .03673",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "LMT 33. 009335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.