Provider Demographics
NPI:1053457002
Name:LETS GET PHYSICAL THERAPY GROUP LLC
Entity Type:Organization
Organization Name:LETS GET PHYSICAL THERAPY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER SENIOR PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:WHIPPLE
Authorized Official - Last Name:RIMKO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:440-937-5210
Mailing Address - Street 1:35840 CHESTER RD STE F
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1240
Mailing Address - Country:US
Mailing Address - Phone:440-937-5210
Mailing Address - Fax:440-937-5212
Practice Address - Street 1:35840 CHESTER RD STE F
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1240
Practice Address - Country:US
Practice Address - Phone:440-937-5210
Practice Address - Fax:440-937-5212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT 06140225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2617010Medicaid
OH378168OtherANTHEM BC BS
OH378168OtherANTHEM BC BS
OH=========OtherEMERALD HEALTH NETWORK
OH=========OtherCARESOURCE
OH=========OtherMMOH
OH2617010Medicaid
OH=========OtherCIGNA
OH2617010Medicaid