Organization Active NPI

Core Physical Therapy LTD

  • Physical Therapy Clinic/Center
  • Mayfield Heights, OH
National Provider Identifier
1710244710
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CORE PHYSICAL THERAPY LTD
Practice address
5813 Mayfield Rd Ste 102
Mayfield Heights, OH 44124-2937
Phone
(440) 683-4438
Fax
(440) 683-4371
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Mr. Marc Anthony Vasil, MPT
Title
Owner/President
Phone
(440) 229-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5813 Mayfield Rd Ste 102
Mayfield Heights, OH 44124-2937

Mailing address

5813 Mayfield Rd Ste 102
Mayfield Heights, OH 44124-2937
Phone (440) 683-4438

Other names 1

  • Wellness Defined of Mayfield Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240829002759 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547426793 Receives reassigned benefits from 1 practitioner
Practice locations: Mayfield HTS, OH

National Provider Directory

National Provider Directory

Locations

5813 Mayfield Rd
Ste 102
Mayfield Hts, OH 44124
Phone (440) 229-5822

15400 Pearl Rd
Ste 207
Strongsville, OH 44136
Phone (440) 229-5822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1710244710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 MAYFIELD RD STE 102",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242937",
            "telephone_number": "440-683-4438",
            "fax_number": "440-683-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 MAYFIELD RD STE 102",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242937",
            "telephone_number": "440-683-4438",
            "fax_number": "440-683-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "VASIL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "440-229-5822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Defined of Mayfield",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.