Unknown Individual – Physical Therapist, NPI 1194893289

Unknown Individual is a healthcare provider. based in Willoughby, Ohio. specializing in Physical Therapist. They hold a License No. PT.000173 (OH). The NPI Number for Unknown Individual is 1194893289

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194893289
Phone
(440) 951-6677
Address
35000 KAISER CT
Deactivation Date
28 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 35000, Kaiser Court, Concord Mobile Home Park, Willoughby, Lake County, Ohio, 44094, United States

    SUITE 301

    WILLOUGHBY, OH 440943382

    Phone: (440) 951-6677

    Fax: (440) 951-2820

    Type: Location

  • 10140, Spinnaker Run, Aurora Shores, Reminderville, Summit County, Ohio, 44202, United States

    AURORA, OH 442028508

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44094)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1194893289?
NPI 1194893289 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Willoughby, Ohio as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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