Physio Orthopedics and Performance LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT016295 Issued in OH

Legal business name

PHYSIO ORTHOPEDICS AND PERFORMANCE LLC

Practice address

69 Graham Rd
Cuyahoga Falls, OH 44223-1328

Phone

(330) 289-2969

NPI assigned

May 16, 2016

Last updated

May 16, 2016By 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

Dr. Timothy Ryan Pavlak, DPT

Title

Physical Therapist

Phone

(330) 289-9269

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1649627050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231328",
            "telephone_number": "330-289-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231328",
            "telephone_number": "330-289-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO ORTHOPEDICS AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "PAVLAK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "330-289-9269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT016295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigid Elizabeth Perry, PHARMD
• Heather Perry
• Suzanne Petrof, LMT
• Desiree Pettway, LPN
• Samantha Phillips, LSW
• Mary E Pickton, LPCC
• Pink Mobile Services
• Pinnacle Chiropractic Health & Wellness Center LLC (Pinnacle Chiropractic)
• Gary B. Pinta, M.D.
• James Edward Pinter

• Physical Therapy Clinic/Center in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.