NPIMap

Organization Active NPI

Suburban Physical Therapy, Inc

  • Physical Therapist
  • Twinsburg, OH
National Provider Identifier
1801943840
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUBURBAN PHYSICAL THERAPY, INC
Practice address
2132 Case Pkwy Ste a
Twinsburg, OH 44087-2383
Phone
(330) 963-2920
Fax
(330) 963-2921
NPI assigned
Jan 4, 2007
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Michael Janesch, PTNPI 1407938087
Title
President
Phone
(330) 963-2920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2132 Case Pkwy Ste a
Twinsburg, OH 44087-2383

Mailing address

2132 Case Pkwy Ste a
Twinsburg, OH 44087-2383
Phone (330) 963-2920

Other identifiers 1

IdentifierTypeStateIssuer
2418306MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230830000315 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991696544 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brecksville, OH; Twinsburg, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Suburban Physical Therapy2 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

6950 S Edgerton Rd
Brecksville, OH 44141
Phone (440) 252-0081

2132 Case Pkwy
Ste A
Twinsburg, OH 44087
Phone (330) 963-2920

8972 Darrow Rd
Ste A201
Twinsburg, OH 44087
Phone (330) 963-2920

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1801943840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 CASE PKWY STE A",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872383",
            "telephone_number": "330-963-2920",
            "fax_number": "330-963-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 CASE PKWY STE A",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872383",
            "telephone_number": "330-963-2920",
            "fax_number": "330-963-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "JANESCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-963-2920",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2418306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.