Efim Scherbakov, LMT, LPTA
Individual provider Active NPI Specialist · Fairlawn, OH
NPI 1104965698 · NPPES record last updated Apr 1, 2013
Key facts
- NPI
- 1104965698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- PTA .03673 (OH)
- Practice address
- 83 N Miller Rd Ste 104
Fairlawn, OH 44333-3729 - Phone
- (330) 808-0661
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|
| LMT 33. 009335 | OH | MD | Specialist |
| PTA .03673 | OH | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physical Therapy, LLC | Current | Accepting new patients | |
| Choose US LLC | Current | Accepting new patients | |
| Summit Help LLC | Specialist | Current | Accepting new patients |
Locations
83 N Miller Rd
Ste 104
Fairlawn, OH 44333
Phone (330) 328-7759
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PTA .03673 | OH | Yes |
| 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
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2013. 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.