Individual provider Active NPI

Janice Marie Schwabenbauer, PTA

  • Physical Therapy Assistant
  • Massillon, OH
National Provider Identifier
1952782773
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06792 Issued in OH
Practice address
435 Avis Ave NW
Massillon, OH 44646-3555
Phone
(330) 837-1741
Fax
(330) 837-1747
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06792 OH Primary

Addresses

Primary practice location

435 Avis Ave NW
Massillon, OH 44646-3555

Mailing address

1364 Hunters Lake Dr E
Cuyahoga Falls, OH 44221-5298
Phone (330) 671-8320

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

State licenses

LicenseStateTypeSpecialty
06792OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1952782773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 HUNTERS LAKE DR E",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442215298",
            "telephone_number": "330-671-8320",
            "fax_number": "330-837-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 AVIS AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463555",
            "telephone_number": "330-837-1741",
            "fax_number": "330-837-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWABENBAUER",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "06792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.