IN HOME PEDIATRIC PHYSICAL THERAPY LLC (NPI# 1750782074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750782074 |
| Entity Type | Organization |
| Organization Name | IN HOME PEDIATRIC PHYSICAL THERAPY LLC |
| Practice Address |
2468 Dysart Rd University Heights OH 44118-4445 |
| Practice Telephone | 5025105297 |
| Practice Fax Number | 8016810724 |
| Mailing Telephone | 5025105297 |
| Mailing Fax Number | 8016810724 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Authorized Official Name | ROSE DUES (ROSE DUES, PT) |
| Authorized Official Telephone | 5025105297 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
012483 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO PHYSICAL THERAPY LICENSE | 012483 | 01 |
| OH | APTA BOARD CERTIFIED CLINICAL SPECIALIST PEDIATRICS | 42253 | 01 |
| OH | STATE OF OHIO DEPARTMENT OF EDUCATION PROFESSIONAL PUPIL LICENSE | OH3206763 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | IN HOME PEDIATRIC PHYSICAL THERAPY LLC | 3250 West Market Street, Suite 205, Fairlawn, OH 44333 |
| Street Address |
2468 DYSART RD |
| City | UNIVERSITY HEIGHTS |
| State | OH |
| Zip Code | 44118-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158279 | Jennifer Elliott | Physical Therapist | 1205 King Rd, Toledo, OH 43617-2013 | 2019-01-17 |
| 1679090427 | Courtney M Goldsbury | Physical Therapist | 3430 Burnet Ave # Mlc4007, Cincinnati, OH 45229-2833 | 2017-08-23 |
| 1760910459 | Eileen Marie Butler | Physical Therapist | 200 East Wilson Bridge, Worthington, OH 43085 | 2017-05-25 |
| 1487189635 | Alexandra Talbott-welch | Physical Therapist | 12618 Mount Overlook Ave, Cleveland, OH 44120-1042 | 2017-04-25 |
| 1720537889 | Suzanne P Mcdonough | Physical Therapist | 95 Valley Brook Blvd, Hinckley, OH 44233-9615 | 2016-09-29 |
| 1184173874 | Hillary Lawrence | Physical Therapist | 428 33rd St Nw, Canton, OH 44709-3014 | 2016-09-23 |
| 1881140069 | Andrea Jean Bradley | Physical Therapist | 2400 Mcvey Ct, Columbus, OH 43235-2835 | 2016-08-29 |
| 1013463512 | Gina Menke | Physical Therapist | 27 St Lawrence Dr Ste 104th, Tiffin, OH 44883-8312 | 2016-08-25 |
| 1003264490 | Erin Ashley Butler | Physical Therapist | 9560 Children Dr, Mason, OH 45040-9362 | 2016-05-26 |
| 1154779601 | Jenna Moffo | Physical Therapist | 2161 Bolser Dr, Cincinnati, OH 45215-3933 | 2016-05-25 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSITY HEIGHTS |
| Zip Code | 44118 |
Please comment or provide details below to improve the information on IN HOME PEDIATRIC PHYSICAL THERAPY LLC.
| 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.