IndividualActive
Kenneth Lawrence
NPI 1083504443 · Physical Therapy Assistant · Clyde, OH
Provider details
- NPI number
- 1083504443
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PTA008940 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
112 Independence Way Ste 170
Clyde, OH 43410-9811
Phone: (567) 855-2807
Approximate (ZIP-level) locationGet directions
Mailing address
112 Independence Way Ste 170
Clyde, OH 43410-9811
Registry dates
- Enumerated
- 2025-07-08
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.