Active NPI
Portage Physical Therapists Inc
- Physical Therapist
- Cuyahoga Falls, OH
National Provider Identifier
1487645206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PORTAGE PHYSICAL THERAPISTS INC
- Practice address
- 650 Graham Rd
Ste 107
Cuyahoga Falls, OH 44221-1052 - Phone
- (330) 920-1002
- Fax
- (330) 920-0923
- NPI assigned
- Nov 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Darbie Ferrara-Mathys
- Title
- C.E.O.
- Phone
- (330) 297-9020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
650 Graham Rd
Ste 107
Cuyahoga Falls, OH 44221-1052
Mailing address
771 N Freedom St
Ravenna, OH 44266-2470
Phone (330) 297-9020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0916610 | Medicaid | OH |
Other names 1
- Allied Health Rehab Centers
National Provider Directory
National Provider DirectoryLocations
650 Graham Rd
Ste 107
Cuyahoga Fls, OH 44221
Phone (330) 920-1002
18 Tallmadge Cir
Tallmadge, OH 44278
Phone (330) 630-0630
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Cuyahoga Falls, OH
- NPI 1730161977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368576000000",
"number": "1487645206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 N FREEDOM ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442662470",
"telephone_number": "330-297-9020",
"fax_number": "330-297-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 GRAHAM RD",
"address_2": "STE 107",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442211052",
"telephone_number": "330-920-1002",
"fax_number": "330-920-0923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTAGE PHYSICAL THERAPISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-01",
"last_updated": "2013-05-15",
"status": "A",
"authorized_official_last_name": "FERRARA-MATHYS",
"authorized_official_first_name": "DARBIE",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "330-297-9020",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0916610",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Allied Health Rehab Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.