Richard Knight Byo Jr.
Individual provider Active NPI Physical Therapy Assistant · Wadsworth, OH
NPI 1457028276 · NPPES record last updated Aug 28, 2021
Key facts
- NPI
- 1457028276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA-003047 (OH)
- Practice address
- 540 Great Oaks TRL
Wadsworth, OH 44281-8799 - Phone
- (330) 414-7347
- NPI assigned
- Aug 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-003047 | OH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-003047 | OH | Yes |
Addresses
Primary practice location
540 Great Oaks TRL
Wadsworth, OH 44281-8799
Mailing address
357 Waterloo Rd
Mogadore, OH 44260-9594
Phone (330) 414-7347
Other providers in Wadsworth, OH
- Heidi Deann Buckingham-Summers
- Brandon D Bupp
- Kelly Marie Burkhart
- Regis P Burlas
- Shannon Burton
- Lisa M Byrne
- Anita Bzdok
- Raymond Judd Campbell Jr.
- Abalina Cannon
- Daniel J Cannone
All providers in Wadsworth, 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 Aug 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.