MEDICARE: PHYSICAL THERAPY & SPORTSCARE CENTERS, 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	003997	OH

General Provider Information

NPI Number	:	1114976024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL THERAPY & SPORTSCARE CENTERS, INC.

Provider Business Mailing Address
First Line	:	2717 S ARLINGTON RD STE A
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-4725
Country	:	US
Telephone Number	:	330-245-1791
Fax Number	:	330-245-1793

Provider Business Practice Location Address
First Line	:	2717 S ARLINGTON RD STE A
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-4725
Country	:	US
Telephone Number	:	330-245-1791
Fax Number	:	330-245-1793

Authorized Official
Title or Position	:	BILLING AND CONTRACT MANAGER
Name	:	SUSAN E GABRIEL
Credential	:
Telephone Number	:	330-245-1372

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/20/2024

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