Joe Cvengros, PT
Individual provider Active NPI Physical Therapist · Cortland, OH
NPI 1366822264 · NPPES record last updated Jun 5, 2015
Key facts
- NPI
- 1366822264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 015386 (OH)
- Practice address
- 230 Windsor Dr
Cortland, OH 44410-2703 - Phone
- (330) 637-6000
- Fax
- (330) 637-6002
- NPI assigned
- Jun 5, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peak Performance Physical Therapy
Practice addresses (Care Compare)
230 Windsor Dr
Cortland, OH 44410-2703
Phone (330) 637-6000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150813012520 | OH | Practitioner - Physical Therapist in Private Practice | 2769797190 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Robert F Naples DO Inc | Past |
Accepting new patients |
Locations
230 Windsor Dr
Cortland, OH 44410
Phone (330) 637-6000
11623 Market St
North Lima, OH 44452
Phone (234) 759-3200
1244 E Market St
Warren, OH 44483
Phone (330) 395-6101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015386 | OH | Yes |
Addresses
Primary practice location
230 Windsor Dr
Cortland, OH 44410-2703
Mailing address
230 Windsor Dr
Cortland, OH 44410-2703
Phone (330) 637-6000
Other providers in Cortland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.