Provider Demographics
NPI:1215084579
Name:LAYTON PHYSICAL THERAPY CO., INC.
Entity type:Organization
Organization Name:LAYTON PHYSICAL THERAPY CO., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-209-1836
Mailing Address - Street 1:2899 HUBBARD RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:OH
Mailing Address - Zip Code:44057-2933
Mailing Address - Country:US
Mailing Address - Phone:440-209-1836
Mailing Address - Fax:440-209-1840
Practice Address - Street 1:2899 HUBBARD RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057-2933
Practice Address - Country:US
Practice Address - Phone:440-428-0422
Practice Address - Fax:440-428-0553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65003345261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0747777Medicaid
OH366576Medicare ID - Type UnspecifiedCOPMANY PROVIDER NO.