Richard Ivy

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.03726 Issued in OH

Practice address

7235 Whipple Ave NW
North Canton, OH 44720-7137

Phone

(330) 498-8200

NPI assigned

Nov 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1417138272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 FAIRVIEW AVE",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448332012",
            "telephone_number": "419-631-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207137",
            "telephone_number": "330-498-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA.03726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna M Iskandar, LPTA
• Cynthia S Iske, OTR/L
• Maria K Israel, LPTA
• Susan Ellis Issler, SLPMACCC
• Gloria J Ivey, CCC/SLP
• J&C Ambulance Service, Inc.
• Jackson Family Practice, Inc.
• Cindy L Jackson, LPTA
• Kimberly M Jackson
• Merilyn Jackson

• Physical Therapy Assistant in North Canton, OH
• Providers in North Canton, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.