Individual provider Active NPI

Raven Anspach, DPT

  • Physical Therapist
  • Warrensville Heights, OH
National Provider Identifier
1821583360
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017359 Issued in OH
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

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former name

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

LicenseStateTypeSpecialty
PT017359OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Lifeforce Corporation Single Specialty PastSince Jun 16, 2011 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.

Verify at the official NPI Registry.