Individual provider Active NPI

Stephen A Sores, DPT

  • Physical Therapist
  • Beachwood, OH
National Provider Identifier
1184305070
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020412 Issued in OH
Practice address
23250 Mercantile Rd Ste 100
Beachwood, OH 44122-5928
Phone
(216) 831-7855
Fax
(216) 831-5320
NPI assigned
Jul 25, 2023
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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 PT020412 OH Primary

Addresses

Primary practice location

23250 Mercantile Rd Ste 100
Beachwood, OH 44122-5928

Mailing address

23250 Mercantile Rd Ste 100
Beachwood, OH 44122-5928
Phone (216) 831-7855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105002243 OH Practitioner - Physical Therapist in Private Practice 7214388032 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020412OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Oct 30, 2024 Accepting new patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
Fox Rehabilitation Services Oh, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
First Settlement Phycial Therapy Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
First Settlement Physical Therapy,Inc. CurrentSince Jul 22, 2024 Accepting new patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
The Metrohealth System CurrentSince Oct 30, 2024 Accepting new patients
Brahms, Cohn & Leb, Inc PastSince Jul 31, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

2434 Richmiller Ln
Unit B
Belpre, OH 45714
Phone (740) 423-1500

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

611 2nd St
Ste A
Marietta, OH 45750
Phone (740) 568-0650

55 White Oak Woods Dr
Vincent, OH 45784
Phone (740) 678-8000

6525 N High St
Worthington, OH 43085
Phone (332) 230-2813

1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060

Organizations & group practices 8

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": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1184305070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 MERCANTILE RD STE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225928",
            "telephone_number": "216-831-7855",
            "fax_number": "216-831-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 MERCANTILE RD STE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225928",
            "telephone_number": "216-831-7855",
            "fax_number": "216-831-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORES",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.