Individual provider Active NPI

Michael A Awad, PT, DPT

  • Physical Therapist
  • Middlefield, OH
National Provider Identifier
1669150074
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
14950 S Springdale Ave
Middlefield, OH 44062-9661
Phone
(440) 993-1004
NPI assigned
Jul 6, 2023
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

14950 S Springdale Ave
Middlefield, OH 44062-9661

Mailing address

PO Box 987
Middlefield, OH 44062-0987
Phone (440) 993-1004

Other identifiers 1

IdentifierTypeStateIssuer
PT020592OtherOHOTPTAT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230809003019 OH Practitioner - Physical Therapist in Private Practice 8628430550 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Allen Bradley Dr
Suite 200
Mayfield Heights, OH 44124-6130
Phone (844) 746-8537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Orthopedic and Spine Institute, LLC CurrentSince May 8, 2024 Accepting new patients
Cramer Physical Therapy, LLC CurrentSince Aug 1, 2023 Accepting new patients
Custom Care Rehab, LLC Physical Therapist CurrentSince Jul 27, 2023 Accepting new patients
Steward Medical Group, Inc PastSince Jul 9, 2023 Accepting new patients
Cleveland Orthopedic and Spine Institute, LLC Past Accepting new patients

Locations

11850 Mayfield Rd
Ste 1
Chardon, OH 44024
Phone (440) 286-1007

300 Allen Bradley Dr
Ste 200
Mayfield Heights, OH 44124
Phone (407) 307-7652

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1669150074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440620987",
            "telephone_number": "440-993-1004",
            "fax_number": "440-574-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14950 S SPRINGDALE AVE",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629661",
            "telephone_number": "440-993-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAD",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTPTAT",
            "identifier": "PT020592",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlefield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.