Healthcare Provider Details

I. General information

NPI: 1972420388
Provider Name (Legal Business Name): TEMPEST PHYSICAL THERAPY & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3894 CENTER RD
BRUNSWICK OH
44212-6603
US

IV. Provider business mailing address

6210 BONETA RD
MEDINA OH
44256-8763
US

V. Phone/Fax

Practice location:
  • Phone: 216-406-5417
  • Fax:
Mailing address:
  • Phone: 216-406-5417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA MARIANO KOPASAKIS
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 216-626-5520