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NPI Code Detail

MEDICARE: CLEVELAND CLINIC

MEDICARE: CLEVELAND CLINIC
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
1261QP2000XPhysical Therapy Clinic/CenterPT007240OH

General Provider Information

NPI Number : 1598109530
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEVELAND CLINIC
Provider Business Mailing Address
First Line : 7533 CENTER ST
Second Line :
City : MENTOR
State : OH
Zip : 44060-6001
Country : US
Telephone Number : 440-205-1714
Fax Number : 440-205-1792
Provider Business Practice Location Address
First Line : 7533 CENTER ST
Second Line :
City : MENTOR
State : OH
Zip : 44060-6001
Country : US
Telephone Number : 440-205-1714
Fax Number : 440-205-1792
Authorized Official
Title or Position : DIRECTOR
Name : MR. GARY CALABRESE
Credential : PT
Telephone Number : 216-408-7562
Provider Enumeration Date : 04/22/2013
Last Update Date : 04/22/2013

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Directions to “CLEVELAND CLINIC ” Practice Location

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