NPIMap

Organization Active NPI

United Cerebral Palsy Association of Greater Cleveland, Inc.

  • Developmental Disabilities Clinic/Center
  • Cleveland, OH
National Provider Identifier
1700880325
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
UNITED CEREBRAL PALSY ASSOCIATION OF GREATER CLEVELAND, INC.
Practice address
10011 Euclid Ave
Cleveland, OH 44106-4701
Phone
(216) 791-8363
Fax
(216) 721-3372
NPI assigned
Jun 10, 2005
Last updated
Oct 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Ms. Patricia S. Otter
Title
Executive Director
Phone
(216) 791-8363

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Voluntary or Charitable Agency 251V00000X
Adult Day Care Clinic/Center 261QA0600X
Developmental Disabilities Clinic/Center 261QD1600X Primary
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X

Addresses

Primary practice location

10011 Euclid Ave
Cleveland, OH 44106-4701

Mailing address

10011 Euclid Avenue
Cleveland, OH 44106-4701
Phone (216) 791-8363

Other identifiers 2

IdentifierTypeStateIssuer
1800224OtherOHI/O WAIVER AND CAFS
8959042MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070809000520 OH Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6103917885 Practice locations: Cleveland, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700880325. Details of each certification follow.

  • CCN 366754 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 366754

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
UNITED CEREBRAL PALSY OF GREATER CLEVELAND, INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Nov 5, 2008
Last certification
Jul 7, 2015
Ownership / control type
VOLUNTARY NON PROFIT OTHER THAN CHURCH
Facility address
10011 Euclid Avenue
Cleveland, OH 44106

National Provider Directory

National Provider Directory
Tax ID family
United Cerebral Palsy Association of Greater Cleveland Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1700880325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 EUCLID AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064701",
            "telephone_number": "216-791-8363",
            "fax_number": "216-721-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064701",
            "telephone_number": "216-791-8363",
            "fax_number": "216-721-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOCIATION OF GREATER CLEVELAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "OTTER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-791-8363",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I/O WAIVER AND CAFS",
            "identifier": "1800224",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8959042",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.