Individual provider Active NPI

Amy Baraona, PT

  • Physical Therapist
  • Chagrin Falls, OH
National Provider Identifier
1194938829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9568 Issued in OH
Practice address
551 E Washington St
Suite 108
Chagrin Falls, OH 44022-4403
Phone
(440) 542-6850
Fax
(440) 542-6859
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 9568 OH Primary

Addresses

Primary practice location

551 E Washington St
Suite 108
Chagrin Falls, OH 44022-4403

Mailing address

3103 Parklane Dr
Parma, OH 44134-3423
Phone (440) 886-3271

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

LicenseStateTypeSpecialty
9568OHMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194938829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 PARKLANE DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441343423",
            "telephone_number": "440-886-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 E WASHINGTON ST",
            "address_2": "SUITE 108",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224403",
            "telephone_number": "440-542-6850",
            "fax_number": "440-542-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAONA",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "9568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.