MEDICARE: DOEBERLING-MUCCIO PHYSICAL THERAPY, 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528060050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOEBERLING-MUCCIO PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	3350 SCHOTTEN RD
Second Line	:
City	:	HUBBARD
State	:	OH
Zip	:	44425-9795
Country	:	US
Telephone Number	:	330-402-0441
Fax Number	:

Provider Business Practice Location Address
First Line	:	3680 STARRS CENTRE DR
Second Line	:
City	:	CANFIELD
State	:	OH
Zip	:	44406-9514
Country	:	US
Telephone Number	:	330-402-0441
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	STACEY LEATHERS
Credential	:
Telephone Number	:	330-507-6378

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	06/30/2025

Similar Medicare Providers

1538304381 — MISS KATY SHURILLA PA-C
Practice Location Address:

3694 STARRS CENTRE DR
CANFIELD, OH
44406-9514

Practice Phone: 330-702-1310
Practice Fax: 330-702-1344

1922149103 — MRS. JILL RENEE BARTON CNP
Practice Location Address:

3694 STARRS CENTRE DR
CANFIELD, OH
44406-9514

Practice Phone: 330-702-1310
Practice Fax:

1770589194 — DR. MICHAEL A DEROSA DO
Practice Location Address:

3694 STARRS CENTRE DR
CANFIELD, OH
44406-9514

Practice Phone: 330-702-1310
Practice Fax: 330-702-1344

1194085811 — DR. PHYLLIS M TRUST D.O.
Practice Location Address:

3694 STARRS CENTRE DR
CANFIELD, OH
44406-9514

Practice Phone: 330-702-1310
Practice Fax: 330-702-3144

1871583948 — LISA M PROVENZA-TABAK D.C.
Practice Location Address:

3680 STARRS CENTRE DR
CANFIELD, OH
44406-9514

Practice Phone: 330-702-0500
Practice Fax: 330-705-0575

1801887435 — MR. MATTHEW S LEATHERS PT, DPT
Practice Location Address:

3680 STARRS CENTRE DR
CANFIELD, OH
44406-9514

Practice Phone: 330-402-0441
Practice Fax:

Directions to “DOEBERLING-MUCCIO PHYSICAL THERAPY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.