Chardon Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CHARDON PHYSICAL THERAPY LLC

Practice address

357 Washington St
Chardon, OH 44024-1129

Phone

(440) 413-6620

NPI assigned

Mar 1, 2021

Organization subpart

No

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

Authorized official

Name

David Nelson, PT, DPT, CIDNNPI 1962920181

Title

Ceo

Phone

(440) 413-6620

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• David Benjamin Nelson

  • Orthopedic Physical Therapist
  • Beachwood, OH
  • NPI 1962920181
  NPD Authorized official

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1396339495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 WOODIN RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249135",
            "telephone_number": "440-413-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 WASHINGTON ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241129",
            "telephone_number": "440-413-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARDON PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-413-6620",
        "authorized_official_credential": "PT, DPT, CIDN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT017191",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chardon Family Chiropractic Clinic Inc.
• Chardon Family Eyecare LLC
• Chardon Fire Department Inc
• Chardon Integrated Wellness Center, LLC
• Chardon Local School District
• Chardon Township
• Chardon Woods of Journey LLC
• Charles Cassady, M.D., Inc.
• Bernadette M Charles, LISW LICDC
• Christina M Charlillo, LISW

• Physical Therapy Clinic/Center in Chardon, OH
• Providers in Chardon, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.