Individual provider Active NPI

Marc Anthony Vasil, PT

  • Orthopedic Physical Therapist
  • Mayfield Heights, OH
National Provider Identifier
1215023072
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT09270 Issued in OH
Practice address
5813 Mayfield Rd
Suite 202
Mayfield Heights, OH 44124-2932
Phone
(440) 229-5822
Fax
(440) 448-4902
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PT09270 OH
Orthopedic Physical Therapist 2251X0800X PT09270 OH Primary

Addresses

Primary practice location

5813 Mayfield Rd
Suite 202
Mayfield Heights, OH 44124-2932

Mailing address

PO Box 361098
Strongsville, OH 44136-0019
Phone (440) 229-5822

Other identifiers 1

IdentifierTypeStateIssuer
2303715MedicaidOH

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PT09270OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Home Helper Services CurrentSince Jul 27, 2020 Accepting new patients
Western Reserve Professional Group Inc Past Accepting new patients
Platinum Home Health Services PastSince May 5, 2003 Accepting new patients
Platinum Home & Community Mobility Corp. PastSince Aug 5, 2022 Accepting new patients

Locations

5813 Mayfield Rd
Ste 201
Mayfield Hts, OH 44124
Phone (440) 229-0202

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1215023072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361098",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441360019",
            "telephone_number": "440-229-5822",
            "fax_number": "440-448-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 MAYFIELD RD",
            "address_2": "SUITE 202",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242932",
            "telephone_number": "440-229-5822",
            "fax_number": "440-448-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASIL",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OH",
            "license": "PT09270",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT09270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2303715",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.