Healthcare Provider Details

I. General information

NPI: 1609209709
Provider Name (Legal Business Name): JILLIAN CERTO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2013
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24723 DETROIT RD
WESTLAKE OH
44145-2526
US

IV. Provider business mailing address

24723 DETROIT RD
WESTLAKE OH
44145-2526
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-6262
  • Fax:
Mailing address:
  • Phone: 216-444-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT017764
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: