Active NPI
Raven Anspach, DPT
- Physical Therapist
- Warrensville Heights, OH
National Provider Identifier
1821583360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017359
- Practice address
- 4700 Richmond Rd Ste 100
Warrensville Heights, OH 44128-5985 - Phone
- (216) 378-9390
- Fax
- (216) 378-1735
- NPI assigned
- Jun 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017359 | OH | Primary |
Addresses
Primary practice location
4700 Richmond Rd Ste 100
Warrensville Heights, OH 44128-5985
Mailing address
4700 Richmond Rd Ste 100
Warrensville Heights, OH 44128-5985
Phone (216) 378-9390
Other practice location 1
26250 Euclid Ave Ste 711
Euclid, OH 44132-3694
Phone (216) 261-7715
Other practice location 2
3310 Warren Rd
Cleveland, OH 44111-2031
Phone (216) 941-5656
Other names 1
- Raven Cilano
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017359 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Lifeforce Corporation | Single Specialty | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1821583360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 RICHMOND RD STE 100",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441285985",
"telephone_number": "216-378-9390",
"fax_number": "216-378-1735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 RICHMOND RD STE 100",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441285985",
"telephone_number": "216-378-9390",
"fax_number": "216-378-1735"
}
],
"practiceLocations": [
{
"address_1": "26250 Euclid Ave Ste 711",
"address_purpose": "LOCATION",
"city": "Euclid",
"state": "OH",
"postal_code": "441323694",
"country_code": "US",
"telephone_number": "216-261-7715",
"fax_number": "216-261-7746",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3310 Warren Rd",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441112031",
"country_code": "US",
"telephone_number": "216-941-5656",
"fax_number": "216-532-2236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANSPACH",
"first_name": "RAVEN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT017359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAVEN",
"last_name": "CILANO",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
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 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.