Healthcare Provider Details

I. General information

NPI: 1710556147
Provider Name (Legal Business Name): NICHOLAS SEME PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 MEDINA RD UNIT N
AKRON OH
44333-2424
US

IV. Provider business mailing address

10157 DELSY DR
NORTH ROYALTON OH
44133-1407
US

V. Phone/Fax

Practice location:
  • Phone: 330-625-5549
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT019309
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: