| Pt Ctr For Sports Med-fam Phys Ther | |
|
2660 W Market St, Ste 300, Fairlawn, OH 44333-4206 | |
| (330) 869-2635 | |
| (330) 869-8315 |
| Full Name | Pt Ctr For Sports Med-fam Phys Ther |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2660 W Market St, Fairlawn, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679578017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT04320 (Ohio) | Primary |
| Provider Name | Kevin L Outwater |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114922556 PECOS PAC ID: 6002810942 Enrollment ID: I20070727000119 |
| Provider Name | Megan A Zumbar-saathoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336385079 PECOS PAC ID: 4587713334 Enrollment ID: I20090527000355 |
| Provider Name | Kimberly Hain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841295284 PECOS PAC ID: 4587830591 Enrollment ID: I20111221000752 |
| Provider Name | Nathan Woollard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740285188 PECOS PAC ID: 1557537578 Enrollment ID: I20111221000797 |
| Provider Name | Joshua Paul Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467712703 PECOS PAC ID: 7416112446 Enrollment ID: I20120626000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Pt Ctr For Sports Med-fam Phys Ther 2660 W Market St, Ste 300, Fairlawn, OH 44333-4206 Ph: (330) 869-2635 | Pt Ctr For Sports Med-fam Phys Ther 2660 W Market St, Ste 300, Fairlawn, OH 44333-4206 Ph: (330) 869-2635 |
Mr. Kevin L. Outwater Sr., PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2660 W Market St, Ste 300, Fairlawn, OH 44333 Phone: 330-869-2635 Fax: 330-869-8315 | |
Mrs. Leslie Baird, M.ED. PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Miller Rd, Suite #150a, Fairlawn, OH 44333 Phone: 330-867-2240 Fax: 330-867-2245 | |
Mrs. Julienne Marie Carlquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 S Cleveland Massillon Rd, Fairlawn, OH 44333 Phone: 330-666-5866 | |
Mrs. Robin Wilson, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Miller Rd Ste 150a, Fairlawn, OH 44333 Phone: 330-867-2240 | |
Daphne Fredricks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3560 W Market St, Suite 400, Fairlawn, OH 44333 Phone: 330-668-4041 Fax: 330-666-5626 | |
Erin Porter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Miller Rd Ste 150a, Fairlawn, OH 44333 Phone: 330-867-2240 Fax: 330-630-3198 | |
Megan A Zumbar Saathoff, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2660 W Market St, Suite 300, Fairlawn, OH 44333 Phone: 330-869-2635 Fax: 330-869-8315 |