DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. CHAD EDWARD EVERSON PTA

MEDICARE: MR. CHAD EDWARD EVERSON PTA
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
1225200000XPhysical Therapy Assistant04933OH

Other Identifiers

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

General Provider Information

NPI Number : 1578761508
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHAD EDWARD EVERSON PTA
Provider Business Mailing Address
First Line : 6291 COX ST
Second Line :
City : RAVENNA
State : OH
Zip : 44266-1561
Country : US
Telephone Number : 330-346-0496
Fax Number :
Provider Business Practice Location Address
First Line : 575 S CLEVELAND MASSILLON RD
Second Line : THERAPY DEPT.
City : FAIRLAWN
State : OH
Zip : 44333-3019
Country : US
Telephone Number : 330-666-5866
Fax Number : 330-666-3215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 07/11/2007

Similar Medicare Providers

1043381635 — ARBORS AT FAIRLAWN CARE, LLC
Practice Location Address:
575 S CLEVELAND MASSILLON RD
FAIRLAWN, OH
44333-3019
Practice Phone: 330-666-5866
Practice Fax: 330-666-3215
1780892091 — MR. EDWIN PIERRE VINES MSPT
Practice Location Address:
575 S CLEVELAND MASSILLON RD
FAIRLAWN, OH
44333-3019
Practice Phone: 330-666-5866
Practice Fax: 330-666-3215
1700081494 — MRS. ROSANNE MARIE SHOVLIN PT
Practice Location Address:
575 S CLEVELAND MASSILLON RD
FAIRLAWN, OH
44333-3019
Practice Phone: 330-666-5866
Practice Fax:
1912103995 — MRS. ERIN M KOLONICH MA, CCC-SLP
Practice Location Address:
575 S CLEVELAND MASSILLON RD
FAIRLAWN, OH
44333-3019
Practice Phone: 330-666-5866
Practice Fax:
1326245309 — MR. MICHAEL A KOLONICH COTAL
Practice Location Address:
575 S CLEVELAND MASSILLON RD
FAIRLAWN, OH
44333-3019
Practice Phone: 330-666-5866
Practice Fax:
1154529741 — MRS. JULIENNE MARIE CARLQUIST DPT
Practice Location Address:
575 S CLEVELAND MASSILLON RD
FAIRLAWN, OH
44333-3019
Practice Phone: 330-666-5866
Practice Fax:

Directions to “ MR. CHAD EDWARD EVERSON PTA” 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 © 2007-2025 (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.