Pegasus Freedom Reins Ohio

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PEGASUS FREEDOM REINS OHIO

Practice address

16090 Hawn Rd
Plain City, OH 43064-9730

Phone

(937) 707-0050

NPI assigned

Dec 16, 2020

Organization subpart

No

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

Authorized official

Name

Jo Reilly-PanicciaNPI 1992301915

Title

Owner

Phone

(937) 707-0050

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jo Reilly-Paniccia

  • Day Training/Habilitation Specialist
  • Plain City, OH
  • NPI 1992301915
  NPD Authorized official

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1043806748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "city": "UNIONVILLE CENTER",
            "state": "OH",
            "postal_code": "430770174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16090 HAWN RD",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430649730",
            "telephone_number": "937-707-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS FREEDOM REINS OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "REILLY-PANICCIA",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-707-0050"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliyah Osman
• Liliana Pacheco Caicedo
• Karen M. G. Pagura, L.I.S.W.
• Leah Parrill, LMSW
• Nirav Patel
• Linda A. Peters, MSW, LISW
• Megan Petrus
• Kimberly Clark Phillips, RN
• Jodi Lynne Phinney
• Roger Alvin Pickens, D.D.S.

• Developmentally Disabled Services Day Training Agency in Plain City, OH
• Providers in Plain City, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.