Organization Active NPI

Portage Physical Therapists Inc

  • Physical Therapist
  • Cuyahoga Falls, OH
National Provider Identifier
1487645206
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on May 15, 2013

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0916610MedicaidOH

Other names 1

  • Allied Health Rehab Centers Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.