Individual provider Active NPI

Emily Page Andriko, DPT

  • Physical Therapist
  • Beachwood, OH
National Provider Identifier
1255812111
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017634 Issued in OH
Practice address
23175 Commerce Park
Beachwood, OH 44122-5806
Phone
(440) 449-3400
Fax
(440) 449-3402
NPI assigned
Aug 28, 2018
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 017634 OH Primary

Addresses

Primary practice location

23175 Commerce Park
Beachwood, OH 44122-5806

Mailing address

23175 Commerce Park
Beachwood, OH 44122-5806
Phone (440) 449-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212003004 OH Practitioner - Physical Therapist in Private Practice 6608209101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Solutions Physical Therapy, Inc.Group PAC ID 3375455918, 12 clinicians

Practice addresses (Care Compare)

23175 Commerce Park
Beachwood, OH 44122-5806
Phone (440) 449-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017634OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Solutions Physical Therapy Inc Physical Therapist CurrentSince Nov 18, 2019 Accepting new patients

Locations

23175 Commerce Park
Beachwood, OH 44122
Phone (216) 691-9602

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1255812111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23175 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225806",
            "telephone_number": "440-449-3400",
            "fax_number": "440-449-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23175 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225806",
            "telephone_number": "440-449-3400",
            "fax_number": "440-449-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIKO",
        "first_name": "EMILY",
        "middle_name": "PAGE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "017634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.