NPIMap

Organization Active NPI

Northeast Professional Home Care, Inc.

Doing business as Northeast Professional Therapy

  • Physical Therapy Clinic/Center
  • Cuyahoga Falls, OH
National Provider Identifier
1669094272
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NORTHEAST PROFESSIONAL HOME CARE, INC.
Doing business as
Northeast Professional Therapy
Practice address
45 Cathedral LN
Cuyahoga Falls, OH 44223-1657
Phone
(330) 966-2311
NPI assigned
May 18, 2020
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHEAST PROFESSIONAL HOME CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Dale W Wells
Title
Ceo
Phone
(330) 966-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

45 Cathedral LN
Cuyahoga Falls, OH 44223-1657

Mailing address

4580 Stephen Cir NW Ste 301
Canton, OH 44718-3646
Phone (330) 966-2311

Other names 1

  • Northeast Professional Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northeast Professional Home Care Inc2 organizations share this tax ID, including this one
Part of
Northeast Professional Home Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1669094272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 STEPHEN CIR NW STE 301",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183646",
            "telephone_number": "330-966-2311",
            "fax_number": "330-966-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CATHEDRAL LN",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231657",
            "telephone_number": "330-966-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PROFESSIONAL HOME CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST PROFESSIONAL HOME CARE, INC",
        "enumeration_date": "2020-05-18",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-966-2311"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Professional Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeast Professional Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.