Organization Active NPI

Buckeye Wellness Center LLC

  • Physical Therapist
  • Cleveland, OH
National Provider Identifier
1487996328
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BUCKEYE WELLNESS CENTER LLC
Practice address
7545 Granger Rd
Cleveland, OH 44125-4818
Phone
(216) 816-6860
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Mrs. Susan Aileen Wynn
Title
Owner
Phone
(440) 237-7053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7545 Granger Rd
Cleveland, OH 44125-4818

Mailing address

7545 Granger Rd
Cleveland, OH 44125-4818
Phone (216) 816-6860

Other names 1

  • Buckeye Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Buckeye Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7545 Granger Rd
Cleveland, OH 44125
Phone (216) 816-6860

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1487996328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 GRANGER RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441254818",
            "telephone_number": "216-816-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 GRANGER RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441254818",
            "telephone_number": "216-816-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "AILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-237-7053",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

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