NPIMap

Organization Active NPI

Excel Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Waynesburg, OH
National Provider Identifier
1417373572
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT006697 Issued in OH
Legal business name
EXCEL PHYSICAL THERAPY INC.
Practice address
108 North Main Street
Waynesburg, OH 44688
Phone
(330) 868-4362
Fax
(330) 868-5146
NPI assigned
Mar 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Mr. George Alan Summers, PT, MPT, OCS, C-IDN
Title
Owner/President
Phone
(330) 868-4362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT006697 OH Primary

Addresses

Primary practice location

108 North Main Street
Waynesburg, OH 44688

Mailing address

PO Box 366
Lisbon, OH 44432-0366
Phone (330) 424-9033

Other identifiers 1

IdentifierTypeStateIssuer
2133588MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Excel Physical Therapy Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1417373572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444320366",
            "telephone_number": "330-424-9033",
            "fax_number": "330-424-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NORTH MAIN STREET",
            "city": "WAYNESBURG",
            "state": "OH",
            "postal_code": "44688",
            "telephone_number": "330-868-4362",
            "fax_number": "330-868-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "330-868-4362",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MPT, OCS, C-IDN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT006697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2133588",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.