Individual provider Active NPI

Craig Giambattista, DPT

  • Physical Therapist
  • Avon, OH
National Provider Identifier
1477006344
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016309 Issued in OH
Practice address
1200 Chester Industrial Pkwy
Avon, OH 44011-1081
Phone
(440) 934-2644
Fax
(440) 934-2640
NPI assigned
Jul 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016309 OH Primary

Addresses

Primary practice location

1200 Chester Industrial Pkwy
Avon, OH 44011-1081

Mailing address

1200 Chester Industrial Pkwy
Avon, OH 44011-1081
Phone (440) 934-2644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513000502 OH Practitioner - Physical Therapist in Private Practice 9830525435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016309OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Apr 19, 2024 Accepting new patients
The Metrohealth System CurrentSince Apr 19, 2024 Accepting new patients
Mercy Health-Regional Medical Center LLC Past Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • Direct secure messaging: cgiambattista236455@ghc.direct-ci.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1477006344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CHESTER INDUSTRIAL PKWY",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111081",
            "telephone_number": "440-934-2644",
            "fax_number": "440-934-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHESTER INDUSTRIAL PKWY",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111081",
            "telephone_number": "440-934-2644",
            "fax_number": "440-934-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBATTISTA",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.