NICK ANTHONY PROUDFOOT (NPI# 1689057184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689057184 |
| Entity Type | Individual |
| Full Name | NICK ANTHONY PROUDFOOT |
| Practice Address |
10701 East Blvd Cares Tower, 1st Floor Cleveland OH 44106-1702 |
| Mailing Address |
7950 Mentor Ave Apt L3 Mentor OH 44060-5654 |
| Practice Telephone | 2167913800 |
| Practice Fax Number | 2617977953 |
| Mailing Telephone | 4403195895 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT. 015463 | OH | Ambulatory Health Care Facilities |
| Street Address |
10701 EAST BLVD CARES TOWER, 1ST FLOOR |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208939 | Beverly A Wisdom | Physician Assistant | 10701 East Blvd, Suite 1b 236, Cleveland, OH 44106-1702 | 2005-07-13 |
| 1013517366 | Michael Nielsen | Recreational Therapist Assistant | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-10-27 |
| 1063010692 | Hailey L Thomas | Dietitian, Registered | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-10-15 |
| 1588262406 | Kinxian Thach | Registered Nurse | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-10-13 |
| 1942817572 | Robin Eminger | Nurse Practitioner | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-09-28 |
| 1396352076 | Brittany B Boykin | Respiratory Therapist, Registered | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-09-28 |
| 1669086955 | Colleen A Gepperth | Nurse Practitioner | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-09-03 |
| 1588277966 | Tarah Midy | Psychologist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-08-26 |
| 1710590062 | Colleen Licursi | Social Worker | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-08-26 |
| 1952913873 | Shivali Dyal Singh | Pharmacist | 10701 East Blvd, Cleveland, OH 44106 | 2020-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273825 | Tremont Functional Rehab, LLC | Clinic/Center | 2401 Scranton Rd, Cleveland, OH 44113-4313 | 2020-07-22 |
| 1013396829 | Taylor Physical Therapy and Sports Health, LLC | Clinic/Center | 4949 Galaxy Pkwy, Suite S, Cleveland, OH 44128-5970 | 2015-05-26 |
| 1356720494 | Reform Physical Therapy and Pilates, LLC | Clinic/Center | 1213 Prospect Ave E, Cleveland, OH 44115-1258 | 2015-05-21 |
| 1558609354 | Agilitas Usa Inc | Clinic/Center | 3760 Ocoee Pl Nw Ste 101, Cleveland, TN 37312-5637 | 2013-01-29 |
| 1386832699 | Pit Stop Rehab,llc | Clinic/Center | 226 N Travis Ave, Cleveland, TX 77327-4198 | 2007-10-11 |
| 1184194185 | Cleveland Physical Therapy Corporation | Clinic/Center | 6829 Broadway Ave, Cleveland, OH 44105-1313 | 2018-12-03 |
| 1427528553 | Akoma Health LLC | Clinic/Center | 5908 Linwood Ave, Cleveland, OH 44103-3012 | 2018-12-02 |
| 1881077386 | Kaimee Devore | Clinic/Center | 10701 East Blvd, 1st Floor Cares Tower, Cleveland, OH 44106-1702 | 2015-07-01 |
| 1407275944 | Elizabeth Ann O'dougherty | Clinic/Center | 9500 Euclid Ave, Desk C22, Cleveland, OH 44195-0001 | 2014-04-14 |
| 1548687353 | James Edwards | Clinic/Center | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2014-03-19 |
| Find all providers in CLEVELAND | ||||
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| 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.