Nick Anthony Proudfoot

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT. 015463 Issued in OH

Practice address

10701 East Blvd
Cares Tower, 1St Floor
Cleveland, OH 44106-1702

Phone

(216) 791-3800

Fax

(261) 797-7953

NPI assigned

Jul 1, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1689057184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 MENTOR AVE APT L3",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605654",
            "telephone_number": "440-319-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 EAST BLVD",
            "address_2": "CARES TOWER, 1ST FLOOR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061702",
            "telephone_number": "216-791-3800",
            "fax_number": "261-797-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUDFOOT",
        "first_name": "NICK",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT. 015463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Eileen Protano
• Sarah Protsik
• Proud to Be, Inc
• Proud to Be, Inc
• Proud to Be, Inc
• Sonia Therese Provard, CERTIFIED PEER RECOV
• Allison Noelle Provenzale, PHARMD, RPH
• Providence House
• Providergenix LLC (Providergenix Healthcare Services)
• Lucinda L Provitt, LPN

• Physical Therapy Clinic/Center in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.