Excel Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6697 Issued in OH

Legal business name

EXCEL PHYSICAL THERAPY INC

Practice address

912 E Lincolnway
Minerva, OH 44657-1214

Phone

(330) 868-4362

Fax

(330) 424-9033

NPI assigned

Nov 20, 2006

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George A Summers, PT, MPT, OCSNPI 1821025248

Title

Owner, Physical Therapist

Phone

(330) 868-4362

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649344946. Details of each certification follow.

• CCN 366686 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 366686

Legal name

EXCEL PHYSICAL THERAPY

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Apr 7, 1999

Last certification

Jul 15, 2015

Ownership / control type

Proprietary

Facility address

912 East Lincolnway
Minerva, OH 44657

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Alan Summers, MPT

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1821025248
  NPD (past) Authorized official
• Mollie L Newman, ATC, PT, DPT

  • Physical Therapist
  • Lisbon, OH
  • NPI 1316347156
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1649344946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E LINCOLNWAY",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446571214",
            "telephone_number": "330-868-4362",
            "fax_number": "330-424-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E LINCOLNWAY",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446571214",
            "telephone_number": "330-868-4362",
            "fax_number": "330-424-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "330-868-4362",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT6697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2133588",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrea Lynn Evans, LPTA
• Landon Walker Evans, M.A.
• Cynthia Lynn Feezle, SLP
• Ashlee Ann Francis
• Theodore Gallagher
• Heather Dale Gibson
• Cheryl A. Gilson, LPN

• Physical Therapist in Minerva, OH
• Providers in Minerva, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.