Mary E Stupczy, PT
Individual provider Active NPI Physical Therapist · Brook Park, OH
NPI 1467640201 · NPPES record last updated Oct 5, 2007
Key facts
- NPI
- 1467640201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT011921 (OH)
- Practice address
- 15900 Snow Rd
Brook Park, OH 44142-2859 - Phone
- (216) 896-0824
- Fax
- (216) 896-0825
- NPI assigned
- Oct 5, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011921 | OH | Yes |
Addresses
Primary practice location
15900 Snow Rd
Brook Park, OH 44142-2859
Mailing address
12208 Thraves Ave
Garfield HTS, OH 44125-4350
Phone (330) 714-3592
Other providers in Brook Park, OH
- Jennifer Siek
- Kyle Snyder
- Southwest General Medical Group, Inc.
- Spectera
- Stonewood Residential Inc.
- Westside Healthcare Limited Partnership
- Chanda Marie Zitiello
All providers in Brook Park, OH · Physical Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2007. 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.