NPIMap

Organization Active NPI

Rehabilitative Associates

Doing business as Mohican Sports Medicine and Rehabilitation

  • Physical Therapist
  • Marysville, OH
National Provider Identifier
1013186113
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHABILITATIVE ASSOCIATES
Doing business as
Mohican Sports Medicine and Rehabilitation
Practice address
17809 Route 31
Mill Valley Plaza 9
Marysville, OH 43040
Phone
(740) 392-8811
NPI assigned
Feb 22, 2008
Last updated
Dec 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert Tiell
Title
Partner
Phone
(740) 392-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

17809 Route 31
Mill Valley Plaza 9
Marysville, OH 43040

Mailing address

812 Coshocton Ave
Suite 4
Mount Vernon, OH 43050-1947
Phone (740) 392-8811

Other names 1

  • Mohican Sports Medicine and Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031124000058 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880598663 Receives reassigned benefits from 11 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bucyrus, OH; Mount Vernon, OH; Mansfield, OH

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1265 Lexington Ave
Mansfield, OH 44907
Phone (419) 525-4200

17809 State Route 31
#9
Marysville, OH 43040
Phone (740) 392-8811

812 Coshocton Ave
Frnt 4
Mount Vernon, OH 43050
Phone (740) 392-8811

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1013186113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 COSHOCTON AVE",
            "address_2": "SUITE 4",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501947",
            "telephone_number": "740-392-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17809 ROUTE 31",
            "address_2": "MILL VALLEY PLAZA 9",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "43040",
            "telephone_number": "740-392-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATIVE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "TIELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "740-392-8811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohican Sports Medicine and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.