Provider Demographics
NPI:1528841806
Name:ACCLIVITY INTEGRATED PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:ACCLIVITY INTEGRATED PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMETHYST
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:216-200-7130
Mailing Address - Street 1:PO BOX 650
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-0650
Mailing Address - Country:US
Mailing Address - Phone:216-200-7130
Mailing Address - Fax:
Practice Address - Street 1:231 WOODBRIDGE LN
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-1466
Practice Address - Country:US
Practice Address - Phone:216-200-7130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy