Healthcare Provider Details

I. General information

NPI: 1942956990
Provider Name (Legal Business Name): NEXT PT GROUP OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 03/01/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BROOKMONT RD
AKRON OH
44333-9207
US

IV. Provider business mailing address

1379 PLAYERS CLUB CIR
GULF BREEZE FL
32563-3521
US

V. Phone/Fax

Practice location:
  • Phone: 775-367-6937
  • Fax:
Mailing address:
  • Phone: 775-367-6937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KEVIN KRUEGER
Title or Position: PRESIDENT/AUTHORIZED OFFICIAL
Credential:
Phone: 850-380-4657