Stacey M Revak in Canfield - Physical Therapist
Stacey M Revak - NPI 1215918453
Stacey M Revak is a Physical Therapist in Canfield, Ohio. Stacey M Revak practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Stacey M Revak is 1215918453. The last update date is 2007-07-09.
Stacey M Revak's current location address is 3335 Darbyshire Dr, Canfield, Ohio. You can contact this provider via phone number 3307937234. The mailing address for Stacey M Revak is 3335 Darbyshire Dr, Canfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey M Revak |
|---|---|
| Address | 3335 Darbyshire Dr, Canfield, Ohio |
| Phone Number | 3307937234 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1215918453 |
|---|---|
| Provider Enumeration Date | 2005-11-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3335 Darbyshire Dr |
|---|---|
| City | Canfield |
| State | Ohio (OH) |
| Post Code | 444069232 |
| Phone Number | 3307937234 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 10883 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00214958 | OH | MEDICARE RAILROAD | |
| 2523504 | OH | -- | |
| 344719 | OH | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Stacey M Revak by the Centers for Medicare & Medicaid Services (CMS)?
The Stacey M Revak has been assigned the NPI (National Provider Identifier) 1215918453. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Stacey M Revak is geographically located?
The Stacey M Revak is physically situated at the following location: 3335 Darbyshire Dr, Canfield, OH, 444069232.
What is Stacey M Revak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacey M Revak is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215918453 to Stacey M Revak?
The Centers for Medicare & Medicaid Services originally issued the 1215918453 to Stacey M Revak on 2005-11-05.
As of what date was the information pertaining to Stacey M Revak, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stacey M Revak, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.