Individual provider Active NPI

Carl J Erway, PT

  • Physical Therapist
  • Westlake, OH
National Provider Identifier
1821064577
Registry record updated Jan 5, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(2) exclusion effective Oct 20, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008770 Issued in OH
Practice address
2237 Crocker Rd
Suite 110
Westlake, OH 44145-7605
Phone
(440) 617-9600
Fax
(440) 617-9608
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008770 OH Primary

Addresses

Primary practice location

2237 Crocker Rd
Suite 110
Westlake, OH 44145-7605

Mailing address

2237 Crocker Rd
Suite 110
Westlake, OH 44145-7605
Phone (440) 617-9600

Other identifiers 4

IdentifierTypeStateIssuer
000000335310OtherANTHEM
0402420OtherUNITED HEALTHCARE
2462722MedicaidOH
0634111OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT008770OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Consultants, Inc Physical Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1821064577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 CROCKER RD",
            "address_2": "SUITE 110",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441457605",
            "telephone_number": "440-617-9600",
            "fax_number": "440-617-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 CROCKER RD",
            "address_2": "SUITE 110",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441457605",
            "telephone_number": "440-617-9600",
            "fax_number": "440-617-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERWAY",
        "first_name": "CARL",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT008770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000335310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0402420",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2462722",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0634111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.