Individual provider Active NPI

Clint Page Jr., PT

  • Physical Therapist
  • Macedonia, OH
National Provider Identifier
1528097086
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011178 Issued in OH
Practice address
746 E Aurora Rd
Suite 7
Macedonia, OH 44056-2732
Phone
(330) 908-0039
Fax
(330) 908-0211
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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 011178 OH Primary

Addresses

Primary practice location

746 E Aurora Rd
Suite 7
Macedonia, OH 44056-2732

Mailing address

746 E Aurora Rd
Suite 7
Macedonia, OH 44056-2732
Phone (330) 908-0211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100518000668 PA Practitioner - Physical Therapist in Private Practice 8022147735 Reassigns benefits to 1 organization
I20101019000403 OH Practitioner - Physical Therapist in Private Practice 8022147735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy Institute LLCGroup PAC ID 8224948666, 213 clinicians

Practice addresses (Care Compare)

20397 Route 19
Suite 220
Cranberry Township, PA 16066-6133
Phone (724) 270-3349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011178OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince Apr 1, 2014 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

8073 Washington Village Dr
Ste 110
Dayton, OH 45458
Phone (937) 938-8380

5963 Kentshire Dr
#B
Dayton, OH 45440

746 E Aurora Rd
Ste 7
Macedonia, OH 44056
Phone (330) 908-0039

8252 High St NE
Warren, OH 44484
Phone (330) 856-2476

4677 Mahoning Ave NW
Warren, OH 44483
Phone (330) 409-7901

4906 William Flynn Hwy
Allison Park, PA 15101
Phone (412) 785-1144

336 College Ave
Ste 105
Beaver, PA 15009
Phone (412) 556-7820

2405 S Park Rd
Bethel Park, PA 15102
Phone (412) 730-3090

173 Freeport Rd
Blawnox, PA 15238
Phone (412) 752-7550

20397 Route 19
Ste 220
Cranberry Twp, PA 16066
Phone (724) 270-3349

617 Warrendale Rd
Ste B
Gibsonia, PA 15044
Phone (878) 978-2777

2644 Mosside Blvd
Ste 117
Monroeville, PA 15146
Phone (412) 567-4122

860 Beaver Grade Rd
Ste C
Moon Township, PA 15108
Phone (878) 999-9013

2 Clairton Blvd
#B
Pittsburgh, PA 15236

4870 McKnight Rd
Pittsburgh, PA 15237
Phone (412) 847-8321

80 Landings Dr
Ste 102
Washington, PA 15301
Phone (724) 382-7327

100 Bradford Rd
Ste 210
Wexford, PA 15090
Phone (724) 940-2323

Organizations & group practices 3

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1528097086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 E AURORA RD",
            "address_2": "SUITE 7",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562732",
            "telephone_number": "330-908-0211",
            "fax_number": "330-908-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 E AURORA RD",
            "address_2": "SUITE 7",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562732",
            "telephone_number": "330-908-0039",
            "fax_number": "330-908-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "CLINT",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "011178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedonia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.