NPIMap

Organization Active NPI

Center for 1 on 1 Therapy and Wellness

  • Physical Therapist
  • Willoughby, OH
National Provider Identifier
1417639360
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CENTER FOR 1 ON 1 THERAPY AND WELLNESS
Practice address
36 Public SQ # 15
Willoughby, OH 44094-7864
Phone
(440) 549-0708
NPI assigned
Aug 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Tomislav Pilekic, OTR/LNPI 1336526839
Title
Co-Owner/ Occupational Therapist
Phone
(330) 524-4481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

36 Public SQ # 15
Willoughby, OH 44094-7864

Mailing address

36 Public SQ # 15
Willoughby, OH 44094-7864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240212003808 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325481815 Receives reassigned benefits from 3 practitioners
Practice locations: Willoughby, OH

National Provider Directory

National Provider Directory

Locations

36 Public Sq
#15
Willoughby, OH 44094
Phone (330) 524-4481

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1417639360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PUBLIC SQ # 15",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440947864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PUBLIC SQ # 15",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440947864",
            "telephone_number": "440-549-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR 1 ON 1 THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "PILEKIC",
        "authorized_official_first_name": "TOMISLAV",
        "authorized_official_title_or_position": "CO-OWNER/ OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "330-524-4481",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.