Individual provider Active NPI

Amber Tomazic Boron, LPTA

  • Physical Therapy Assistant
  • Medina, OH
National Provider Identifier
1407294978
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA. 08994 Issued in OH
Practice address
700 E Washington St
Medina, OH 44256-2126
Phone
(330) 635-7055
NPI assigned
Jun 6, 2013
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA. 08994 OH Primary

Addresses

Primary practice location

700 E Washington St
Medina, OH 44256-2126

Mailing address

700 E Washington St
Medina, OH 44256-2126
Phone (330) 635-7055

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

State licenses

LicenseStateTypeSpecialty
PTA. 08994OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ferrell Whited Physical Therapy Services, LLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

700 E Washington St
Medina, OH 44256
Phone (330) 722-3781

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1407294978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E WASHINGTON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562126",
            "telephone_number": "330-635-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E WASHINGTON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562126",
            "telephone_number": "330-635-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORON",
        "first_name": "AMBER",
        "middle_name": "TOMAZIC",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA. 08994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.