Provider Demographics
NPI:1235158791
Name:STARKEY, PATRICK W (LPT)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:W
Last Name:STARKEY
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 7TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-2908
Mailing Address - Country:US
Mailing Address - Phone:440-285-4999
Mailing Address - Fax:440-285-4996
Practice Address - Street 1:150 7TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-2908
Practice Address - Country:US
Practice Address - Phone:440-285-4999
Practice Address - Fax:440-285-4996
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.003611225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4170761Medicare PIN