MEDICARE: PROFESSIONAL THERAPY ASSOCIATES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT-03199	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235236464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL THERAPY ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	3900 MEDINA RD
Second Line	:	SUITE N
City	:	AKRON
State	:	OH
Zip	:	44333-2424
Country	:	US
Telephone Number	:	330-665-0006
Fax Number	:	330-665-0008

Provider Business Practice Location Address
First Line	:	3900 MEDINA RD
Second Line	:	SUITE N
City	:	AKRON
State	:	OH
Zip	:	44333-2424
Country	:	US
Telephone Number	:	330-665-0006
Fax Number	:	330-665-0008

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RONALD JOSEPH KLEINMAN
Credential	:	PT
Telephone Number	:	330-665-0006

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	02/26/2013

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