Northeast Ohio Therapy Associates, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT-5585 Issued in OH

Legal business name

NORTHEAST OHIO THERAPY ASSOCIATES, LLC

Doing business as

Neo Therapy

Practice address

6310 Market Ave N
Canton, OH 44721-3127

Phone

(330) 494-6655

Fax

(330) 494-8195

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Scott James, PTNPI 1699716894

Title

President

Phone

(330) 494-6655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NEO THERAPY Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 6

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

• Gregory Scott James, PT

  • Physical Therapist
  • Canton, OH
  • NPI 1699716894
  Medicare reassignment Authorized official
• Michael W Maley, DC

  • Sports Physician Chiropractor
  • Canton, OH
  • NPI 1760557169
  NPD
• Stephen Rocco Milano, D.C.

  • Chiropractor
  • Canton, OH
  • NPI 1386065852
  NPD (past)
• Kelly Miller, PTA

  • Physical Therapy Assistant
  • Canton, OH
  • NPI 1396175022
  NPD (past)
• Dawn Marie Ocker, PTA

  • Physical Therapy Assistant
  • Canton, OH
  • NPI 1578770822
  NPD (past)
• Mark L Riley III, DC

  • Chiropractor
  • Canton, OH
  • NPI 1578638987
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711238400000",
    "number": "1396937033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213127",
            "telephone_number": "330-494-6655",
            "fax_number": "330-494-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213127",
            "telephone_number": "330-494-6655",
            "fax_number": "330-494-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OHIO THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-494-6655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT-5585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2505579",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEO THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alicen Notarianni, CT

• Physical Therapy Clinic/Center in Canton, OH
• Providers in Canton, 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 24, 2024; 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.