Marcia W Boote, PT
Individual provider Active NPI Geriatric Physical Therapist · Hudson, OH
NPI 1780923615 · NPPES record last updated Feb 13, 2013
Key facts
- NPI
- 1780923615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- License
- 01071 (OH)
- Practice address
- 311 W Streetsboro St
Hudson, OH 44236-2748 - Phone
- (330) 653-5395
- NPI assigned
- Feb 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Help LLC
Practice addresses (Care Compare)
5183 Mayfield Rd
Unit 1
Lyndhurst, OH 44124-2405
Phone (330) 777-0150
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130228000552 | OH | Practitioner - Physical Therapist in Private Practice | 7618122441 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01071 | OH | MD | Geriatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 01071 | OH | Yes |
Addresses
Primary practice location
311 W Streetsboro St
Hudson, OH 44236-2748
Mailing address
311 W Streetsboro St
Hudson, OH 44236-2748
Phone (330) 653-5395
Other providers in Hudson, OH
- Beth Ann Bigham
- Jean Binger
- Sarah C Bingham
- Shelley Bluett
- Jenny L Bodnar
- Maria Stadelman Bossard
- Crystal Monique Boyd
- Elaine Chung Boyd
- Justin Boyd
- Andrew T Brady
All providers in Hudson, OH · Geriatric Physical Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2013. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.