Lifeline Partners of Canton, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LIFELINE PARTNERS OF CANTON, INC

Practice address

4161 Steels Pointe
Suite 300
Stow, OH 44224-6310

Phone

(330) 759-5981

Fax

(330) 759-9677

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Bruce Burgdorf

Title

VP

Phone

(330) 759-5981

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1659565893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8005",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445058005",
            "telephone_number": "330-759-5981",
            "fax_number": "330-759-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 STEELS POINTE",
            "address_2": "SUITE 300",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246310",
            "telephone_number": "330-759-5981",
            "fax_number": "330-759-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PARTNERS OF CANTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "BURGDORF",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "330-759-5981"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.