Active NPI
Troy M Parks
- Physical Therapist
- Boardman, OH
National Provider Identifier
1568290757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018246
- Practice address
- 1265 Boardman Canfield Rd
Boardman, OH 44512-4010 - Phone
- (330) 758-9400
- Fax
- (330) 726-8676
- NPI assigned
- Jul 22, 2024
- 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 | PT018246 | OH | Primary |
Addresses
Primary practice location
1265 Boardman Canfield Rd
Boardman, OH 44512-4010
Mailing address
1265 Boardman Canfield Rd
Boardman, OH 44512-4010
Phone (330) 758-9400
Other practice location 1
16844 Saint Clair Ave
East Liverpool, OH 43920-4277
Phone (330) 386-6500
Other practice location 2
8720 E Market St Ste 10
Warren, OH 44484-2364
Phone (330) 469-2519
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 |
|---|---|---|---|
| PT018246 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1568290757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 BOARDMAN CANFIELD RD",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124010",
"telephone_number": "330-758-9400",
"fax_number": "330-726-8676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 BOARDMAN CANFIELD RD",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124010",
"telephone_number": "330-758-9400",
"fax_number": "330-726-8676"
}
],
"practiceLocations": [
{
"address_1": "16844 Saint Clair Ave",
"address_purpose": "LOCATION",
"city": "East Liverpool",
"state": "OH",
"postal_code": "439204277",
"country_code": "US",
"telephone_number": "330-386-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8720 E Market St Ste 10",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "OH",
"postal_code": "444842364",
"country_code": "US",
"telephone_number": "330-469-2519",
"fax_number": "330-726-8676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKS",
"first_name": "TROY",
"middle_name": "M",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT018246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.