Ensta Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ENSTA CORP

Practice address

25955 Detroit Rd Ste 16
Westlake, OH 44145-2426

Phone

(330) 807-2431

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Eric Stacks

Title

President

Phone

(330) 807-2431

Specialties & licenses 1

Addresses

Other names 1

• Fyzical Therapy & Balance Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

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

• Nicole Elizabeth Ellis, PT,DPT

  • Physical Therapist
  • Westlake, OH
  • NPI 1437971793
  Medicare reassignment Care Compare group NPD
• Katelyn Hoffman, DPT

  • Physical Therapist
  • Westlake, OH
  • NPI 1639969769
  Medicare reassignment Care Compare group NPD
• Jordin Collier

  • Physical Therapy Assistant
  • Westlake, OH
  • NPI 1518765023
  Medicare reassignment NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1780307488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 RANFIELD RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406783",
            "telephone_number": "330-807-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25955 DETROIT RD STE 16",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452426",
            "telephone_number": "330-807-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSTA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "STACKS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-807-2431"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy & Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabella Enders
• Endovascular Imaging Partners II, LLC
• Katherine Engel, LPCC
• Jennifer L English, RBT
• Conley Walter Engstrom, MD
• Envision Eyewear LLC
• Eric McCallister
• Kyle J Ericson, MD
• Peter J Erossy, MD
• Carl J Erway, PT

• Physical Therapy Clinic/Center in Westlake, OH
• Providers in Westlake, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.