ZACHARY POREDA (NPI# 1114415916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114415916 |
| Entity Type | Individual |
| Full Name | ZACHARY POREDA |
| Credential | PT, DPT |
| Practice Address |
34 W Washington St Chagrin Falls OH 44022-3026 |
| Practice Telephone | 4402472644 |
| Mailing Telephone | 4402472644 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 016498 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
016498 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
016498 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
34 W WASHINGTON ST |
| City | CHAGRIN FALLS |
| State | OH |
| Zip Code | 44022-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811983729 | Patrick Thomas Hergenroeder | Specialist | 34 W Washington St, Chagrin Falls, OH 44022-3026 | 2005-09-26 |
| 1407287600 | Katrina Kennedy | Physical Therapist | 34 W Washington St, Chagrin Falls, OH 44022-3026 | 2013-12-12 |
| 1780945352 | Shawn Steven Segulin | Physical Therapist | 34 W Washington St, Chagrin Falls, OH 44022-3026 | 2012-05-31 |
| 1689711533 | Patrick T Hergenroeder Md Inc | Specialist | 34 W Washington St, Chagrin Falls, OH 44022-3026 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467896142 | Erin Campbell Fulchiero | Psychiatry & Neurology | 551 East Washington St., Chagrin Falls, OH 44022 | 2013-04-24 |
| 1154696052 | Mccall Ann Zupon | Counselor | 5000 Rockside Rd., Suite 310, Independenec, OH 44022 | 2012-03-12 |
| 1548414071 | Chagrin Falls Suburban Volunteer Firemens Association | Ambulance | 21 West Washington Street, Chagrin Falls, OH 44022 | 2008-11-11 |
| 1750530408 | Francisca Uduaku Onunaku | Nurse Practitioner | 45001 Mather Ln, Chagrin Falls, OH 44022 | 2008-09-17 |
| 1801001466 | Roger P Lee | Radiology | 325 Capital Hill Circle, Orange Village, OH 44022 | 2007-05-14 |
| 1477698280 | Miami Valley Anesthesia | Clinic/Center | 200 Industrial Pkwy, Suite 4, Chagrin Falls, OH 44022 | 2007-02-20 |
| 1285772327 | Village of Orange | Ambulance | 4600 Lander Road, Orange Village, OH 44022 | 2007-02-01 |
| 1811007636 | Alla Kirsch | Family Medicine | 5192 Chillicothe Road, Suite #101, South Russell, OH 44022 | 2006-08-30 |
| 1972612679 | Barbara Anne Bryndal | Counselor | 26 South Franklin St, Chagrin Falls, OH 44022 | 2006-08-29 |
| 1699287482 | Erin Cooper | Nurse Practitioner | 551 Washington St, Chagrin Falls, OH 44022 | 2017-11-01 |
| Find all providers in zip 44022 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902362692 | Onsite Pt LLC | Physical Therapist | 576 Industrial Pkwy, Chagrin Falls, OH 44022-4413 | 2019-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892124 | Absolute Kinetics Physical Therapy, LLC | Physical Therapist | 2128 Madison Rd, Cincinnati, OH 45208-3287 | 2020-08-18 |
| 1962011460 | Kaitlin Marie Bronikowski | Physical Therapist | 925 N State St Ste G, Westerville, OH 43082-8023 | 2020-07-30 |
| 1144857145 | Tyler James Hewett | Physical Therapist | 7010 Engle Rd Ste 105, Middleburg Heights, OH 44130-8401 | 2020-03-27 |
| 1205463486 | Michael Russo | Physical Therapist | 29800 Bainbridge Rd # So40, Solon, OH 44139-2202 | 2020-03-26 |
| 1477184646 | Competitive Edge Physical Therapy and Performance | Physical Therapist | 5754 Thorton St Apt 103, Westerville, OH 43081-7196 | 2020-01-28 |
| 1356805543 | Shawn R Notarione | Physical Therapist | 50 Baker Blvd Ste O, Fairlawn, OH 44333-3674 | 2019-01-22 |
| 1780156810 | Matthew Adam Longfellow | Physical Therapist | 1195 Chesapeake Ave, Columbus, OH 43212-2238 | 2018-12-31 |
| 1992276422 | Carolyn Sue Rauh | Physical Therapist | 150 Schwieterman St, Minster, OH 45865-8729 | 2018-12-10 |
| 1629547708 | Maureen Bauman | Physical Therapist | 5 Severance Cir Ste 115, Cleveland Heights, OH 44118-1513 | 2018-11-18 |
| 1740757335 | Jennifer Michelle Fogle | Physical Therapist | 3333 Burnet Ave # 4007, Cincinnati, OH 45229-3026 | 2018-11-01 |
| Find all providers with the same taxonomy | ||||
| City | CHAGRIN FALLS |
| Zip Code | 44022 |
Please comment or provide details below to improve the information on ZACHARY POREDA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.