NPIMap

Organization Active NPI

Michael M Supler & Associates Inc

  • Physical Therapist
  • South Euclid, OH
National Provider Identifier
1467555482
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MICHAEL M SUPLER & ASSOCIATES INC
Practice address
1611 South Green Road
Suite #036
South Euclid, OH 44121-4128
Phone
(216) 291-2277
Fax
(216) 291-5707
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Mr. Michael McGraw Supler, PT
Title
President
Phone
(216) 291-2277

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1611 South Green Road
Suite #036
South Euclid, OH 44121-4128

Mailing address

1611 South Green Road
Suite #036
South Euclid, OH 44121-4128
Phone (216) 291-2277

Other identifiers 2

IdentifierTypeStateIssuer
CG6162OtherOHRAILROAD MEDICARE
0280379MedicaidOH

Other names 1

  • UNIVERSITY SUBURBAN PHYSICAL THERAPY UNIVERSITY SUBURBAN SPORTS MEDICI Doing business as

National Provider Directory

National Provider Directory

Locations

1611 S Green Rd
Ste 306
South Euclid, OH 44121
Phone (216) 291-2277

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1467555482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SOUTH GREEN ROAD",
            "address_2": "SUITE #036",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214128",
            "telephone_number": "216-291-2277",
            "fax_number": "216-291-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SOUTH GREEN ROAD",
            "address_2": "SUITE #036",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214128",
            "telephone_number": "216-291-2277",
            "fax_number": "216-291-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M SUPLER & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "SUPLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MCGRAW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-291-2277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG6162",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280379",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY SUBURBAN PHYSICAL THERAPY UNIVERSITY SUBURBAN SPORTS MEDICI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.