Active NPI
Jack E Eckroad, PT
- Physical Therapist
- Akron, OH
National Provider Identifier
1538196696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3414
- Practice address
- 2420 Wedgewood Dr
Physical Therapy Suite
Akron, OH 44312-2432 - Phone
- (330) 327-6009
- NPI assigned
- Jun 26, 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 | 3414 | OH | Primary |
Addresses
Primary practice location
2420 Wedgewood Dr
Physical Therapy Suite
Akron, OH 44312-2432
Mailing address
5159 Alabama Ave NW
North Lawrence, OH 44666-9736
Phone (330) 327-6009
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 |
|---|---|---|---|
| 3414 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538196696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5159 ALABAMA AVE NW",
"city": "NORTH LAWRENCE",
"state": "OH",
"postal_code": "446669736",
"telephone_number": "330-327-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 WEDGEWOOD DR",
"address_2": "PHYSICAL THERAPY SUITE",
"city": "AKRON",
"state": "OH",
"postal_code": "443122432",
"telephone_number": "330-327-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKROAD",
"first_name": "JACK",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "3414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.