Carla I Theil, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004720 Issued in OH

Practice address

725 Boardman Canfield Rd
Suite B
Boardman, OH 44512-4380

Phone

(330) 729-9095

Fax

(330) 726-6540

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Back 2 Health of the Ohio Valley Inc

  • Chiropractor
  • East Liverpool, OH
  • NPI 1609986561
  NPD (past)
• Rehab Unlimited at Southbridge, LLC

  • Physical Therapy Clinic/Center
  • Boardman, OH
  • NPI 1114903234
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942427166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42218 METZ RD",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444089471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD",
            "address_2": "SUITE B",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124380",
            "telephone_number": "330-729-9095",
            "fax_number": "330-726-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIL",
        "first_name": "CARLA",
        "middle_name": "I",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT004720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Counseling Center of Boardman LLC
• The Knapp Center for Childhood Development
• The Spectacle Spot, Inc
• The Vein Center, LLP
• The Village Network Inc.
• Therapeutic Associates
• Therapy Support, Inc.
• There Is Hope,Inc.
• Thi of Ohio Alfs at the Commons LLC
• Thi of Ohio at Greenbriar North LLC

• Physical Therapist in Boardman, OH
• Providers in Boardman, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.