Active NPI
Jack Carruthers, P.T.
- Physical Therapist
- Tallmadge, OH
National Provider Identifier
1497724975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05088
- Practice address
- 161 Northwest Ave
Ste. 104
Tallmadge, OH 44278-1850 - Phone
- (330) 630-1860
- Fax
- (330) 630-1860
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05088 | OH | Primary |
Addresses
Primary practice location
161 Northwest Ave
Ste. 104
Tallmadge, OH 44278-1850
Mailing address
PO Box 6062
Akron, OH 44312-0062
Phone (330) 630-1860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05088 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PRN Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Tallmadge, OH
- NPI 1174502512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497724975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6062",
"city": "AKRON",
"state": "OH",
"postal_code": "443120062",
"telephone_number": "330-630-1860",
"fax_number": "330-630-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 NORTHWEST AVE",
"address_2": "STE. 104",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442781850",
"telephone_number": "330-630-1860",
"fax_number": "330-630-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRUTHERS",
"first_name": "JACK",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "05088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallmadge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.