Provider Demographics
NPI:1972732774
Name:JUST IN TIME THERAPY, INC
Entity Type:Organization
Organization Name:JUST IN TIME THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:VOLANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DSC
Authorized Official - Phone:440-221-0444
Mailing Address - Street 1:533 BAY HILL DR
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-4106
Mailing Address - Country:US
Mailing Address - Phone:440-221-0444
Mailing Address - Fax:440-398-0500
Practice Address - Street 1:533 BAY HILL DR
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012-4106
Practice Address - Country:US
Practice Address - Phone:440-221-0444
Practice Address - Fax:440-398-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5847225100000X, 225X00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9383511Medicare PIN