Individual provider Active NPI

Kaitlyn Marie Dzuroff, PT, DPT, AT

  • Physical Therapist
  • Canton, OH
National Provider Identifier
1437623576
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020526 Issued in OH
Practice address
4645 Belpar St NW
Canton, OH 44718-3602
Phone
(330) 493-4210
NPI assigned
Jan 11, 2019
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020526 OH Primary
Athletic Trainer 2255A2300X AT006798 OH

Addresses

Primary practice location

4645 Belpar St NW
Canton, OH 44718-3602

Mailing address

4282 Springdale Rd
Uniontown, OH 44685-7709
Phone (440) 539-4997

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724003643 OH Practitioner - Physical Therapist in Private Practice 9234599101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4645 Belpar St NW
Canton, OH 44718-3602
Phone (330) 493-4210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006798OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Rehabilitation of Ohio Inc Physical Therapist CurrentSince Jun 11, 2023 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. Physical Therapist CurrentSince Jun 11, 2023 Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients

Locations

4645 Belpar St NW
Canton, OH 44718
Phone (330) 493-4210

803 E Washington St
Ste 130
Medina, OH 44256
Phone (330) 725-4200

Organizations & group practices 3

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1437623576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4282 SPRINGDALE RD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857709",
            "telephone_number": "440-539-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183602",
            "telephone_number": "330-493-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZUROFF",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "credential": "PT, DPT, AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020526",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT006798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.