NPIMap

Organization Active NPI

Fernandez Renner and Scaia Physical Therapy Clinic Inc

  • Physical Therapy Clinic/Center
  • Canton, OH
National Provider Identifier
1770545220
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FERNANDEZ RENNER AND SCAIA PHYSICAL THERAPY CLINIC INC
Practice address
4426 Whipple Ave NW
Canton, OH 44718-2646
Phone
(330) 492-1222
Fax
(330) 492-1382
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Mr. Mike Crocker
Title
Business Manager
Phone
(330) 492-1222

Specialties & licenses 1

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

Addresses

Primary practice location

4426 Whipple Ave NW
Canton, OH 44718-2646

Mailing address

4426 Whipple Ave NW
Canton, OH 44718-2646
Phone (330) 492-1222

Other identifiers 2

IdentifierTypeStateIssuer
0469756MedicaidOH
CM0529OtherOHMEDICARE ID TYPE UNSPEC

National Provider Directory

National Provider Directory

Locations

4426 Whipple Ave NW
Canton, OH 44718
Phone (330) 492-1222

Practitioners & affiliated clinicians

Practitioners 6

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": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1770545220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182646",
            "telephone_number": "330-492-1222",
            "fax_number": "330-492-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182646",
            "telephone_number": "330-492-1222",
            "fax_number": "330-492-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDEZ RENNER AND SCAIA PHYSICAL THERAPY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "330-492-1222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469756",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPEC",
            "identifier": "CM0529",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.