Provider Demographics
NPI:1457658270
Name:PLESCIA, ANTHONY D (PT)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:D
Last Name:PLESCIA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5850 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-3169
Mailing Address - Country:US
Mailing Address - Phone:440-502-5117
Mailing Address - Fax:440-502-5282
Practice Address - Street 1:5850 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-3169
Practice Address - Country:US
Practice Address - Phone:440-502-5117
Practice Address - Fax:440-502-5117
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH013159225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist