NPIMap

Organization Active NPI

Executive Rehab Services

  • Speech-Language Pathologist
  • Newark, OH
National Provider Identifier
1043569353
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 6673 Issued in OH
Legal business name
EXECUTIVE REHAB SERVICES
Practice address
1945 Tamarack Rd
Newark, OH 43055-1300
Phone
(740) 349-9777
NPI assigned
Aug 31, 2012
Last updated
Aug 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Authorized official

Name
Mrs. Jane Ann SnowNPI 1073910352
Title
Speech, Language Pathologist
Phone
(740) 344-9199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 6673 OH Primary

Addresses

Primary practice location

1945 Tamarack Rd
Newark, OH 43055-1300

Mailing address

1945 Tamarack Rd
Newark, OH 43055-1300
Phone (740) 349-9777

National Provider Directory

National Provider Directory

Locations

1945 Tamarack Rd
Newark, OH 43055
Phone (740) 349-9777

Practitioners & affiliated clinicians

Practitioners 7

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": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1043569353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551300",
            "telephone_number": "740-349-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551300",
            "telephone_number": "740-349-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH, LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "740-344-9199",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 6673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.