Tri-County Physical Therapy Institute LLC
Organization Active NPI Physical Therapist · Canfield, OH
NPI 1225544307 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1225544307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- TRI-COUNTY PHYSICAL THERAPY INSTITUTE LLC
- Practice address
- 567 E Main St
Canfield, OH 44406-1547 - Phone
- (330) 533-1080
- NPI assigned
- Dec 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Stephen Brasko, PT
- Title
- Physical Therapist/ Owner
- Phone
- (330) 307-6907
Practitioners 6
-
Kaitlin McCarthy, PT, DPT
-
Jenna York, PT, DPT, CSCS
-
Bruce C Weston, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180129000964 | OH | Part B Supplier - Clinic/Group Practice | 0446510184 |
Receives reassigned benefits from 4 practitioners Practice locations: Canfield, OH |
National Provider Directory
Locations
567 E Main St
Canfield, OH 44406
Phone (330) 533-1080
567 E Main St
#1547
Canfield, OH 44406
31 E Broad St
Newton Falls, OH 44444
Phone (330) 533-1080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
567 E Main St
Canfield, OH 44406-1547
Mailing address
567 E Main St
Canfield, OH 44406-1547
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053868596 | Other | OH | NPPES |
Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.