Organization Active NPI

Fertility PT, LLC

  • Physical Therapy Clinic/Center
  • Fairlawn, OH
National Provider Identifier
1992525026
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FERTILITY PT, LLC
Practice address
2841 Riviera Dr
Fairlawn, OH 44333-3413
Phone
(440) 665-7482
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Joanna Pavlak, DPTNPI 1649880998
Title
Owner
Phone
(440) 665-7482

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2841 Riviera Dr
Fairlawn, OH 44333-3413

Mailing address

7401 State Route 43
Kent, OH 44240-5964
Phone (440) 665-7482

National Provider Directory

National Provider Directory

Locations

2841 Riviera Dr
Fairlawn, OH 44333
Phone (330) 730-5465

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1992525026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 STATE ROUTE 43",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442405964",
            "telephone_number": "440-665-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 RIVIERA DR",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333413",
            "telephone_number": "440-665-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILITY PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "PAVLAK",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-665-7482",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.