Boris Pichkar, PT, DPT

Primary specialty

Ergonomics Physical TherapistTaxonomy code 2251E1200X

License

7525 Issued in OH

Practice address

3570 Warrensville Center Rd
Suite 102-D
Shaker Heights, OH 44122-5288

Phone

(440) 580-0088

Fax

(440) 580-0088

NPI assigned

Jun 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Rehab Professionals, LLC

  • Physical Therapy Clinic/Center
  • Shaker Heights, OH
  • NPI 1114962974
  NPD (past) Authorized official

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1689619447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 102-D",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225288",
            "telephone_number": "440-580-0088",
            "fax_number": "440-580-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 102-D",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225288",
            "telephone_number": "440-580-0088",
            "fax_number": "440-580-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHKAR",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "7525",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "OH",
            "license": "7525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2430926",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary S Peroune
• Person-Centered Behavioral Homes
• Pharaoh'S Transport LLC
• Christen Phillips
• Erica Phillips
• Diana Ivy Pierce, LPC
• Judith L. Pitlick, M.A., L.P.C.C.
• Allen W. Pittman, BA, LSW
• Stephanie Ann Placek
• Platinum Home Health Care Services.

• Physical Therapist in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.