Unknown Individual – Physical Therapist, NPI 1669505574

Unknown Individual is a healthcare provider. based in Avon lake, Ohio. specializing in Physical Therapist. They hold a License No. PT-004712 (OH). The NPI Number for Unknown Individual is 1669505574

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669505574
Phone
(440) 233-1000
Address
122 MULL AVE
Deactivation Date
18 January 2023
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

Provider Addresses for Unknown Individual

  • 122 MULL AVE

    AVON LAKE, OH 440121836

    Phone: (440) 233-1000

    Fax: (440) 233-1056

    Type: Mailing

  • 1800 LIVINGSTON AVE

    BUILDING C

    LORAIN, OH 440523781

    Phone: (440) 233-1000

    Fax: (440) 233-1056

    Type: Location

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.

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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.

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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 44012)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1669505574.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Avon Lake, Ohio. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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