Individual provider Active NPI

Shawn R Notarione

  • Orthopedic Physical Therapist
  • Fairlawn, OH
National Provider Identifier
1356805543
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
50 Baker Blvd Ste O
Fairlawn, OH 44333-3674
Phone
(330) 869-6344
Fax
(330) 869-6366
NPI assigned
Jan 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

50 Baker Blvd Ste O
Fairlawn, OH 44333-3674

Mailing address

50 Baker Blvd Ste O
Fairlawn, OH 44333-3674
Phone (330) 869-6344

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

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1356805543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BAKER BLVD STE O",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333674",
            "telephone_number": "330-869-6344",
            "fax_number": "330-869-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BAKER BLVD STE O",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333674",
            "telephone_number": "330-869-6344",
            "fax_number": "330-869-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTARIONE",
        "first_name": "SHAWN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.