Wychock Physical Therapy Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT006573 Issued in OH

Legal business name

WYCHOCK PHYSICAL THERAPY INC

Practice address

607 Lake Ave
Ashtabula, OH 44004-3262

Phone

(440) 964-2035

Fax

(440) 964-0699

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stephen G Wychock, PHYSICAL THERAPISTNPI 1760489413

Title

Owner

Phone

(440) 964-2035

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Gerald Wychock, P.T.

  • Physical Therapist
  • Ashtabula, OH
  • NPI 1760489413
  Medicare reassignment NPD Authorized official
• Stephanie Marie Corlew

  • Athletic Trainer
  • Ashtabula, OH
  • NPI 1003389271
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1295916146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043262",
            "telephone_number": "440-964-2035",
            "fax_number": "440-964-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043262",
            "telephone_number": "440-964-2035",
            "fax_number": "440-964-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCHOCK PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "WYCHOCK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-964-2035",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "PT006573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2361699",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE",
            "identifier": "DA9882",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000320301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theodore Woo, M.D.
• Brittany Woodard
• Hannah Woods
• Jean A. Wrightnour, O.D.
• Nancy L Wuenschel, LPTA
• Stephen Gerald Wychock, P.T.
• Rachel Wymer, PT, DPT
• Turker Yilmaz, M.D.
• Michelle Young
• Tiffany E Young, LPCC

• Specialist in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.