Active NPI
Ty A Ghezzi, PT
- Physical Therapist
- Dover, OH
National Provider Identifier
1255814729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007176
- Practice address
- 659 Boulevard St
Dover, OH 44622-2026 - Phone
- (330) 343-3311
- NPI assigned
- Sep 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007176 | OH | Primary |
Addresses
Primary practice location
659 Boulevard St
Dover, OH 44622-2026
Mailing address
85300 Plum Run Rd
Uhrichsville, OH 44683-6461
Phone (330) 987-3362
Other practice location 1
339 E Maple St
North Canton, OH 44720-2593
Phone (330) 498-8200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007176 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1255814729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85300 PLUM RUN RD",
"city": "UHRICHSVILLE",
"state": "OH",
"postal_code": "446836461",
"telephone_number": "330-987-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 BOULEVARD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222026",
"telephone_number": "330-343-3311"
}
],
"practiceLocations": [
{
"address_1": "339 E Maple St",
"address_purpose": "LOCATION",
"city": "North Canton",
"state": "OH",
"postal_code": "447202593",
"country_code": "US",
"telephone_number": "330-498-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHEZZI",
"first_name": "TY",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-11",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT007176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.