Individual provider Active NPI

Sam Jerome, DPT, PT

  • Physical Medicine & Rehabilitation Physician
  • Akron, OH
National Provider Identifier
1487110177
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT017897 Issued in OH
Practice address
1033 E Turkeyfoot Lake Rd Ste 201
Akron, OH 44312-7203
Phone
(330) 896-0611
NPI assigned
Feb 18, 2019
Last updated
Feb 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT017897 OH Primary

Addresses

Primary practice location

1033 E Turkeyfoot Lake Rd Ste 201
Akron, OH 44312-7203

Mailing address

1200 Robinson Ave
Coventry Township, OH 44203-3855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823001377 OH Practitioner - Physical Therapist in Private Practice 1456689702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthounited, Inc.Group PAC ID 9032197868, 89 clinicians

Practice addresses (Care Compare)

4760 Belpar St NW
Canton, OH 44718-3603
Phone (330) 492-9200

Merit-based Incentive Payment System (MIPS)

Final score
80.13 of 100Reported as group
Quality
74.6
Promoting interoperability
70
Improvement activities
40
Cost
84.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017897OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthounited, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Novacare Rehabilitation of Ohio Inc CurrentSince Jun 24, 2019 Accepting new patients
Orthounited, Inc. Physical Medicine & Rehabilitation CurrentSince Jan 1, 2023 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. CurrentSince Jun 24, 2019 Accepting new patients

Locations

325 Springside Dr
Ste 101
Akron, OH 44333
Phone (330) 492-9200

2211 W State St
Alliance, OH 44601
Phone (330) 680-8735

4082 Fulton Dr NW
Canton, OH 44718
Phone (330) 491-8100

4760 Belpar St NW
Canton, OH 44718
Phone (330) 244-1001

340 Oxford St
Dover, OH 44622
Phone (330) 343-0222

1033 E Turkeyfoot Lake Rd
Ste 201
Green, OH 44312
Phone (330) 645-6200

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

7442 Frank Ave NW
North Canton, OH 44720
Phone (330) 305-0838

Organizations & group practices 4

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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1487110177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROBINSON AVE",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "442033855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 E TURKEYFOOT LAKE RD STE 201",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443127203",
            "telephone_number": "330-896-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "SAM",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "PT017897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.