Individual provider Active NPI

Rachel Aversano

  • Physical Therapy Assistant
  • Westlake, OH
National Provider Identifier
1275325219
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA013580 Issued in OH
Practice address
2186 Canterbury Rd
Westlake, OH 44145-3228
Phone
(702) 491-1204
NPI assigned
May 17, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA013580 OH Primary

Addresses

Primary practice location

2186 Canterbury Rd
Westlake, OH 44145-3228

Mailing address

2186 Canterbury Rd
Westlake, OH 44145-3228
Phone (702) 491-1204

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

LicenseStateTypeSpecialty
PTA013580OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1747440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1275325219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 CANTERBURY RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453228",
            "telephone_number": "702-491-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 CANTERBURY RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453228",
            "telephone_number": "702-491-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERSANO",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-17",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA013580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; 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.