MEDICARE: JENNIFER ANN NAGY P.T.

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	374U00000X	Home Health Aide
2	225100000X	Physical Therapist	011464	OH

General Provider Information

NPI Number	:	1447367602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANN NAGY P.T.

Provider Business Mailing Address
First Line	:	5212 CHICKADEE LN
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-2731
Country	:	US
Telephone Number	:	216-333-1361
Fax Number	:

Provider Business Practice Location Address
First Line	:	4229 PEARL RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-4218
Country	:	US
Telephone Number	:	216-957-3904
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	11/17/2020

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