Active NPI
Cheryl A Ross, PT
- Physical Therapist
- Dayton, OH
National Provider Identifier
1174857528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8344
- Practice address
- 10 Wilmington Ave
Dayton, OH 45420-1877 - Phone
- (937) 258-2196
- NPI assigned
- Oct 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8344 | OH | Primary |
Addresses
Primary practice location
10 Wilmington Ave
Dayton, OH 45420-1877
Mailing address
1325 Churchill Hubbard Rd
Youngstown, OH 44505-1346
Phone (330) 759-5904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2577162 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8344 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Rehab and Wellness Center LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Youngstown, OH
- NPI 1932152931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254355200000",
"number": "1174857528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 CHURCHILL HUBBARD RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051346",
"telephone_number": "330-759-5904",
"fax_number": "330-759-8709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WILMINGTON AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454201877",
"telephone_number": "937-258-2196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "CHERYL",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-01",
"last_updated": "2009-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "8344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2577162",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.