Active NPI
Josip Vukancic
- Physical Medicine & Rehabilitation Physician
- Willoughby, OH
National Provider Identifier
1679426738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT019651
- Practice address
- 4176 State Route 306
Willoughby, OH 44094-9203 - Phone
- (440) 975-0027
- Fax
- (440) 975-0062
- NPI assigned
- Feb 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT019651 | OH | Primary |
Addresses
Primary practice location
4176 State Route 306
Willoughby, OH 44094-9203
Mailing address
4176 State Route 306
Willoughby, OH 44094-9203
Phone (440) 975-0027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019651 | OH | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1679426738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4176 STATE ROUTE 306",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440949203",
"telephone_number": "440-975-0027",
"fax_number": "440-975-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4176 STATE ROUTE 306",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440949203",
"telephone_number": "440-975-0027",
"fax_number": "440-975-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUKANCIC",
"first_name": "JOSIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-18",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "PT019651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.