Individual provider Active NPI

Patricia Kuczmarski, PT

  • Physical Therapist
  • Mentor, OH
National Provider Identifier
1174573349
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10558 Issued in OH
Practice address
8358 Munson Rd
Mentor, OH 44060-2442
Phone
(440) 255-2009
Fax
(717) 421-9157
NPI assigned
May 10, 2006
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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 PT10558 OH Primary

Addresses

Primary practice location

8358 Munson Rd
Mentor, OH 44060-2442

Mailing address

8358 Munson Rd
Mentor, OH 44060-2442
Phone (440) 255-2009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041217000348 OH Practitioner - Physical Therapist in Private Practice 3577520899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthounited, Inc.Group PAC ID 9032197868, 89 clinicians

Practice addresses (Care Compare)

4760 Belpar St NW
Canton, OH 44718-3603
Phone (330) 492-9200

Merit-based Incentive Payment System (MIPS)

Final score
80.13 of 100Reported as group
Quality
74.6
Promoting interoperability
70
Improvement activities
40
Cost
84.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10558OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthounited, Inc. Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. CurrentSince Jun 6, 2020 Accepting new patients
Orthounited, Inc. Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. Physical Therapist CurrentSince Jun 6, 2020 Accepting new patients
Novacare Rehabilitation of Ohio Inc PastSince Jun 14, 2020 Accepting new patients

Locations

2211 W State St
Alliance, OH 44601
Phone (330) 680-8735

4760 Belpar St NW
Canton, OH 44718
Phone (330) 244-1001

340 Oxford St
Dover, OH 44622
Phone (330) 343-0222

803 E Washington St
Ste 130
Medina, OH 44256
Phone (330) 725-4200

7442 Frank Ave NW
North Canton, OH 44720
Phone (330) 305-0838

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 5

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1174573349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8358 MUNSON RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602442",
            "telephone_number": "440-255-2009",
            "fax_number": "717-421-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8358 MUNSON RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602442",
            "telephone_number": "440-255-2009",
            "fax_number": "717-421-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCZMARSKI",
        "first_name": "PATRICIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT10558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.