Individual provider Active NPI

James T. Maier, PT, MS

  • Physical Therapist
  • Chagrin Falls, OH
National Provider Identifier
1508924192
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01368 Issued in OH
Practice address
54 Philomethian St
Rear
Chagrin Falls, OH 44022-2926
Phone
(440) 247-2476
Fax
(440) 247-5278
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT01368 OH Primary

Addresses

Primary practice location

54 Philomethian St
Rear
Chagrin Falls, OH 44022-2926

Mailing address

54 Philomethian St
P. O. Box 636
Chagrin Falls, OH 44022-2926
Phone (440) 247-2476

Other identifiers 1

IdentifierTypeStateIssuer
0217705MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000357 OH Practitioner - Physical Therapist in Private Practice 7911089248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

54 Philomethian St
Rear
Chagrin Falls, OH 44022-2926
Phone (440) 247-2476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Western Reserve Therapists, Inc. Physical Therapist CurrentSince Nov 5, 2007 Accepting new patients

Locations

54 Philomethian St
Chagrin Falls, OH 44022
Phone (440) 247-9444

54 Philomethian St
Rear
Chagrin Falls, OH 44022
Phone (440) 247-2476

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508924192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PHILOMETHIAN ST",
            "address_2": "P. O. BOX 636",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440222926",
            "telephone_number": "440-247-2476",
            "fax_number": "440-247-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PHILOMETHIAN ST",
            "address_2": "REAR",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440222926",
            "telephone_number": "440-247-2476",
            "fax_number": "440-247-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIER",
        "first_name": "JAMES",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT01368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217705",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.