Excel Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6697 Issued in OH

Legal business name

EXCEL PHYSICAL THERAPY, INC.

Practice address

200 E Pershing St
Salem, OH 44460-3047

Phone

(330) 424-9033

Fax

(330) 424-9053

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

George A Summers, PT, MPT, OCS

Title

Owner

Phone

(330) 868-4362

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1235285065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444320366",
            "telephone_number": "330-424-9033",
            "fax_number": "330-424-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E PERSHING ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603047",
            "telephone_number": "330-424-9033",
            "fax_number": "330-424-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-08-30",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-868-4362",
        "authorized_official_credential": "PT, MPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT6697",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2133588",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essex Healthcare Corporation (Essex of Salem 3)
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• Essex Healthcare Corporation (Essex of Salem 1)
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• Melinda L Ewing, QMHS-B
• F H Wolken Inc (Freds Family Pharmacy)
• Famico Bi Bi Bi LLC (Allay Senior Care)
• Family Health Care of Columbiana County Inc
• Family Practice Center of Salem, Inc.
• W. Gordon Fediaczko, L.I.S.W.

• Physical Therapist in Salem, OH
• Providers in Salem, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.