Organization Active NPI

Resilience Pelvic Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Beachwood, OH
National Provider Identifier
1528680410
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESILIENCE PELVIC PHYSICAL THERAPY AND WELLNESS
Practice address
24300 Chagrin Blvd Ste 206
Beachwood, OH 44122-5629
Phone
(216) 202-4680
NPI assigned
May 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Janice Bacak, PT, DPTNPI 1285831537
Title
Physical Therapist
Phone
(216) 202-4680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

24300 Chagrin Blvd Ste 206
Beachwood, OH 44122-5629

Mailing address

24300 Chagrin Blvd Ste 206
Beachwood, OH 44122-5629
Phone (216) 202-4680

National Provider Directory

National Provider Directory

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": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1528680410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24300 CHAGRIN BLVD STE 206",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225629",
            "telephone_number": "216-202-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 CHAGRIN BLVD STE 206",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225629",
            "telephone_number": "216-202-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE PELVIC PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "BACAK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "216-202-4680",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.