NPIMap

Organization Active NPI

PR2 Physical Therapy and Myofascial Center, Inc.

  • Physical Therapist
  • Canton, OH
National Provider Identifier
1619002169
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3881 Issued in OH
Legal business name
PR2 PHYSICAL THERAPY AND MYOFASCIAL CENTER, INC.
Practice address
5822 Middlebranch Ave NE
Canton, OH 44721-3661
Phone
(330) 492-1193
Fax
(330) 492-1193
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia Louise Hamilton, PTNPI 1578761615
Title
President
Phone
(330) 492-1193

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 3881 OH Primary

Addresses

Primary practice location

5822 Middlebranch Ave NE
Canton, OH 44721-3661

Mailing address

5822 Middlebranch Ave NE
Canton, OH 44721-3661
Phone (330) 492-1193

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619002169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5822 MIDDLEBRANCH AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213661",
            "telephone_number": "330-492-1193",
            "fax_number": "330-492-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5822 MIDDLEBRANCH AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213661",
            "telephone_number": "330-492-1193",
            "fax_number": "330-492-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR2 PHYSICAL THERAPY AND MYOFASCIAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-492-1193",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "3881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.