Active NPI
Cassidy Kirven
- Physical Therapist
- Newton Falls, OH
National Provider Identifier
1194392050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019371
- Practice address
- 17 E River St Ste a
Newton Falls, OH 44444-1372 - Phone
- (330) 872-7242
- Fax
- (330) 872-7372
- NPI assigned
- Jun 9, 2021
- 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 | 019371 | OH | Primary |
Addresses
Primary practice location
17 E River St Ste a
Newton Falls, OH 44444-1372
Mailing address
926 Wise Ave SE
North Canton, OH 44720-3766
Phone (307) 041-8003
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019371 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1194392050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 WISE AVE SE",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447203766",
"telephone_number": "307-041-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E RIVER ST STE A",
"city": "NEWTON FALLS",
"state": "OH",
"postal_code": "444441372",
"telephone_number": "330-872-7242",
"fax_number": "330-872-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRVEN",
"first_name": "CASSIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "019371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.