Active NPI
Michael J Kasson
- Physical Therapist
- Westlake, OH
National Provider Identifier
1619245099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.009265
- Practice address
- 2116 Dover Center Rd
Westlake, OH 44145-3154 - Phone
- (440) 871-0090
- NPI assigned
- Dec 13, 2011
- 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 | PT.009265 | OH | Primary |
Addresses
Primary practice location
2116 Dover Center Rd
Westlake, OH 44145-3154
Mailing address
4042 W 224TH St
Fairview Park, OH 44126-1069
Phone (440) 465-6450
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 |
|---|---|---|---|
| PT.009265 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1619245099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4042 W 224TH ST",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441261069",
"telephone_number": "440-465-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 DOVER CENTER RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441453154",
"telephone_number": "440-871-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSON",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.009265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.