Individual provider Active NPI

Kerry Volansky, DSC, PT, MBA, OCS

  • Physical Therapist
  • Avon Lake, OH
National Provider Identifier
1144228867
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT05847 Issued in OH
Practice address
602 Tournament Dr
Avon Lake, OH 44012-2284
Phone
(440) 933-6855
Fax
(440) 933-6855
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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 PT05847 OH Primary

Addresses

Primary practice location

602 Tournament Dr
Avon Lake, OH 44012-2284

Mailing address

602 Tournament Dr
Avon Lake, OH 44012-2284
Phone (440) 933-6855

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)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
PT05847OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vox Solutions, LLC Past Accepting new patients
Fyzbiz, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1144228867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 TOURNAMENT DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122284",
            "telephone_number": "440-933-6855",
            "fax_number": "440-933-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 TOURNAMENT DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122284",
            "telephone_number": "440-933-6855",
            "fax_number": "440-933-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLANSKY",
        "first_name": "KERRY",
        "name_prefix": "Dr.",
        "credential": "DSC, PT, MBA, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT05847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Lake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.