NPIMap

Organization Active NPI

Excel Physical Therapy, Inc.

  • Physical Therapist
  • East Liverpool, OH
National Provider Identifier
1861548695
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6697 Issued in OH
Legal business name
EXCEL PHYSICAL THERAPY, INC.
Practice address
16724 Saint Clair Ave
East Liverpool, OH 43920-9470
Phone
(330) 386-9783
Fax
(330) 386-9784
NPI assigned
Jan 26, 2007
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
George A Summers, PT, MPT, OCSNPI 1821025248
Title
Owner
Phone
(330) 868-4362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6697 OH Primary

Addresses

Primary practice location

16724 Saint Clair Ave
East Liverpool, OH 43920-9470

Mailing address

PO Box 366
Lisbon, OH 44432-0366
Phone (330) 424-9033

Other identifiers 1

IdentifierTypeStateIssuer
2133588MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Excel Physical Therapy Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1861548695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444320366",
            "telephone_number": "330-424-9033",
            "fax_number": "330-424-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16724 SAINT CLAIR AVE",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209470",
            "telephone_number": "330-386-9783",
            "fax_number": "330-386-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-08-30",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-868-4362",
        "authorized_official_credential": "PT, MPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT6697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2133588",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.