Mr Kevin L Outwater Sr, PT, ATC | |
2660 W Market St, Ste 300, Fairlawn, OH 44333-4202 | |
(330) 869-2635 | |
(330) 869-8315 |
Full Name | Mr Kevin L Outwater Sr |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 43 Years |
Location | 2660 W Market St, Fairlawn, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114922556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-04320 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pt Center Llc | 9739575986 | 5 |
Provider Name | Kevin Laurence Outwater |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679578017 PECOS PAC ID: 8628173747 Enrollment ID: O20070419000000 |
Provider Name | Pt Center Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467115030 PECOS PAC ID: 9739575986 Enrollment ID: O20220415000505 |
Mailing Address | Practice Location Address |
---|---|
Mr Kevin L Outwater Sr, PT, ATC 2660 W Market St, Ste 300, Fairlawn, OH 44333-4206 Ph: (330) 869-2635 | Mr Kevin L Outwater Sr, PT, ATC 2660 W Market St, Ste 300, Fairlawn, OH 44333-4202 Ph: (330) 869-2635 |
Mrs. Leslie Baird, M.ED. PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Miller Rd, Suite #150a, Fairlawn, OH 44333 Phone: 330-867-2240 Fax: 330-867-2245 | |
Mrs. Julienne Marie Carlquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 S Cleveland Massillon Rd, Fairlawn, OH 44333 Phone: 330-666-5866 | |
Mrs. Robin Wilson, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Miller Rd Ste 150a, Fairlawn, OH 44333 Phone: 330-867-2240 | |
Daphne Fredricks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3560 W Market St, Suite 400, Fairlawn, OH 44333 Phone: 330-668-4041 Fax: 330-666-5626 | |
Erin Porter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Miller Rd Ste 150a, Fairlawn, OH 44333 Phone: 330-867-2240 Fax: 330-630-3198 | |
Megan A Zumbar Saathoff, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2660 W Market St, Suite 300, Fairlawn, OH 44333 Phone: 330-869-2635 Fax: 330-869-8315 |