Organization Active NPI

Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • Boardman, OH
National Provider Identifier
1992093033
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DRAYER PHYSICAL THERAPY INSTITUTE LLC
Practice address
813 Boardman Poland Rd
Suite 12B
Boardman, OH 44512-5129
Phone
(330) 729-9448
Fax
(330) 729-9450
NPI assigned
Jul 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Luke A Drayer
Title
Ceo
Phone
(717) 220-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

813 Boardman Poland Rd
Suite 12B
Boardman, OH 44512-5129

Mailing address

813 Boardman Poland Rd
Suite 12B
Boardman, OH 44512-5129
Phone (330) 729-9448

National Provider Directory

National Provider Directory

Locations

813 Boardman Poland Rd
Ste 12B
Boardman, OH 44512
Phone (330) 729-9448

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1992093033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 BOARDMAN POLAND RD",
            "address_2": "SUITE 12B",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125129",
            "telephone_number": "330-729-9448",
            "fax_number": "330-729-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 BOARDMAN POLAND RD",
            "address_2": "SUITE 12B",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125129",
            "telephone_number": "330-729-9448",
            "fax_number": "330-729-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAYER PHYSICAL THERAPY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "DRAYER",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-220-2100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.