Angela Blair, LPTA
Individual provider Active NPI Physical Therapy Assistant · Brookpark, OH
NPI 1417866971 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1417866971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA007207 (OH)
- Practice address
- 17001 Holland Rd
Brookpark, OH 44142-3523 - Phone
- (216) 898-8307
- NPI assigned
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA007207 | OH | Yes |
Addresses
Primary practice location
17001 Holland Rd
Brookpark, OH 44142-3523
Mailing address
36774 S Park Dr
Avon, OH 44011-3513
Other providers in Brookpark, OH
- Joseph Bandura
- Sean Kenneth Battisti
- Filmer Beringuel
- Amanda J Birce
- Jean Bjorn
- Mary Boksansky
- Susan Booth
- Tiffany Booth
- John S Bostic
- Madonna Bowen
All providers in Brookpark, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.