Organization Active NPI

Physical Therapy & Sportscare Centers, Inc.

  • Physical Therapist
  • Akron, OH
National Provider Identifier
1114976024
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003997 Issued in OH
Legal business name
PHYSICAL THERAPY & SPORTSCARE CENTERS, INC.
Practice address
2717 S Arlington Rd Ste a
Akron, OH 44312-4725
Phone
(330) 245-1791
Fax
(330) 245-1793
NPI assigned
May 8, 2006
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Susan E Gabriel
Title
Billing and Contract Manager
Phone
(330) 245-1372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 003997 OH Primary

Addresses

Primary practice location

2717 S Arlington Rd Ste a
Akron, OH 44312-4725

Mailing address

2717 S Arlington Rd Ste a
Akron, OH 44312-4725
Phone (330) 245-1791

Other practice location 1

85 Community Rd Ste D
Tallmadge, OH 44278-2356
Phone (330) 630-0630

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060814000232 OH Part B Supplier - Clinic/Group Practice 6406859453 Receives reassigned benefits from 3 practitioners
Practice locations: Akron, OH; Tallmadge, OH

National Provider Directory

National Provider Directory

Locations

133 5TH Sest B
B
Barberton, OH 44203
Phone (330) 628-0736

85 Community Rd
Ste D
Tallmadge, OH 44278
Phone (330) 630-0630

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1114976024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 S ARLINGTON RD STE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443124725",
            "telephone_number": "330-245-1791",
            "fax_number": "330-245-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 S ARLINGTON RD STE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443124725",
            "telephone_number": "330-245-1791",
            "fax_number": "330-245-1793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Community Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Tallmadge",
            "state": "OH",
            "postal_code": "442782356",
            "country_code": "US",
            "telephone_number": "330-630-0630",
            "fax_number": "330-630-9799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & SPORTSCARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING AND CONTRACT MANAGER",
        "authorized_official_telephone_number": "330-245-1372"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "003997",
            "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 Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.