Cherie Ann Kuta, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

7545 Fredle Dr
Concord Township, OH 44077-9406

Phone

(440) 357-1717

Fax

(440) 357-5252

NPI assigned

Feb 22, 2023

Last updated

Feb 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Revive Orthopedic and Spinal Therapy

  • Physical Medicine & Rehabilitation Physician
  • Concord Township, OH
  • NPI 1437812484
  Medicare reassignment NPD

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1679271266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 FREDLE DR",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-357-1717",
            "fax_number": "440-357-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 FREDLE DR",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-357-1717",
            "fax_number": "440-357-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTA",
        "first_name": "CHERIE",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "PT009587",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamryn Alexis Rose Kincaid
• Zachary Knoeferl, PA-C
• Debbie Kocan
• Tori Kozbial, RN,BSN
• Amber Kuhn
• Graham Kuta, P.T.
• Lake Hospital System, Inc.
• Lake Hospital System, Inc. Dba Lake Health (Lake Health Pharmacy - TriPoint)
• Jennifer Lyn Lemaster, CDCA
• Melissa Lorenzo

• Physical Therapist in Concord Township, OH
• Providers in Concord Township, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.