Ac PT Inc
Organization Active NPI Physical Therapist · Mentor, OH
NPI 1770174872 · NPPES record last updated Feb 10, 2022
Key facts
- NPI
- 1770174872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AC PT INC
- Practice address
- 7257 Center St
Mentor, OH 44060-4907 - Phone
- (440) 740-8877
- NPI assigned
- Feb 1, 2021
- Organization subpart
- No
Authorized official
- Name
- Aaron Cook, DPT
- Title
- Owner
- Phone
- (330) 612-8285
Practitioners 6
-
Aaron Cook, DPT
-
Daniel Price, DPT
-
Monda T Waked, DC
-
Michael Diamond, DC
-
Hallie Kania, PTA
-
Eric Thibault, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210920002533 | OH | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2668872946 |
Receives reassigned benefits from 2 practitioners Practice locations: Mentor, OH |
National Provider Directory
Locations
7259 Center St
Mentor, OH 44060
Phone (330) 612-8285
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
7257 Center St
Mentor, OH 44060-4907
Mailing address
7257 Center St
Mentor, OH 44060-4907
Phone (440) 740-8877
Other names
- FYZICAL Therapy and Balance Center
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.