Brandon H Pavilack

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4600 McAuley PL Ste 150
Blue Ash, OH 45242-4765

Phone

(513) 898-3375

NPI assigned

Sep 19, 2022

Last updated

Sep 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affordable Home Health Care, LLC

  dba Summit Home Care

  • Home Health Agency
  • Blue Ash, OH
  • NPI 1588029284
  NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1245953983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SUGARMAPLE CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361162",
            "telephone_number": "513-582-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MCAULEY PL STE 150",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424765",
            "telephone_number": "513-898-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVILACK",
        "first_name": "BRANDON",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathfinders Counseling, LLC
• Patient AIDS Inc
• Malaya Patrick
• Regina M Patton, LPCC
• Paul F Siegel DDS Inc
• Tonyia Raeisha Jeson Payton
• Peaceful Intentions Counseling and Consulting LLC
• Samantha Jamison Pease, LISW
• Stanley Lamar Peavy
• Christopher L Pecsok, DC

• Physical Therapist in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.