NPIMap

Organization Active NPI

Advanced Orthopedics and Physical Therapy, Inc.

  • Orthopedic Chiropractor
  • Warrensville Heights, OH
National Provider Identifier
1801185962
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1694 Issued in OH
Legal business name
ADVANCED ORTHOPEDICS AND PHYSICAL THERAPY, INC.
Practice address
4670 Richmond Rd
Suite 250
Warrensville Heights, OH 44128-6410
Phone
(216) 378-9390
Fax
(216) 378-9379
NPI assigned
Mar 29, 2011
Last updated
Jun 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Mr. Michael Dixon
Title
Ceo
Phone
(216) 378-9390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 1694 OH Primary

Addresses

Primary practice location

4670 Richmond Rd
Suite 250
Warrensville Heights, OH 44128-6410

Mailing address

4700 Richmond Rd
Suite 100
Warrensville Heights, OH 44128-5984
Phone (216) 378-9390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000249 OH Part B Supplier - Clinic/Group Practice 6204096050 Receives reassigned benefits from 14 practitioners
Practice locations: Warrensville Heights, OH

National Provider Directory

National Provider Directory
Tax ID family
Advanced Orthopedics and Physical Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4700 Richmond Rd
Warrensville Heights, OH 44128
Phone (216) 378-9390

4700 Richmond Rd
Ste 100
Warrensville Heights, OH 44128
Phone (216) 378-9390

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1801185962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 RICHMOND RD",
            "address_2": "SUITE 100",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285984",
            "telephone_number": "216-378-9390",
            "fax_number": "216-378-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 RICHMOND RD",
            "address_2": "SUITE 250",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441286410",
            "telephone_number": "216-378-9390",
            "fax_number": "216-378-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPEDICS AND PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-378-9390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OH",
            "license": "1694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.