Provider Demographics
NPI:1750402426
Name:MAJKA PHYSICAL THERAPY ASSOCIATES
Entity type:Organization
Organization Name:MAJKA PHYSICAL THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:MAJKA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:440-234-8300
Mailing Address - Street 1:3487 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-3624
Mailing Address - Country:US
Mailing Address - Phone:330-225-0553
Mailing Address - Fax:330-220-8272
Practice Address - Street 1:3487 CENTER RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-3624
Practice Address - Country:US
Practice Address - Phone:330-225-0553
Practice Address - Fax:330-220-8272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT01835174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0593175Medicaid
OHMA9303692Medicare ID - Type UnspecifiedFACILITY ID NUMBER