United Rehabilitation Services of Greater Dayton

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007137 Issued in OH

Legal business name

UNITED REHABILITATION SERVICES OF GREATER DAYTON

Practice address

4710 Old Troy Pike
Dayton, OH 45424-5740

Phone

(937) 233-1230

Fax

(937) 236-8930

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Gene Grant

Title

Executive Director

Phone

(937) 233-1230

Specialties & licenses 6

Addresses

Other identifiers 6

Other names 1

• United Rehabilitation Services of Greater Datyon Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

United Rehabilitation S4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• United Rehabilitation Services

  • Hearing and Speech Clinic/Center
  • Dayton, OH
  • NPI 1689901977
  NPD tax ID
• United Rehabilitation Services of Greater Dayton

  • Professional Counselor
  • Dayton, OH
  • NPI 1518478387
  NPD tax ID
• United Rehabilitation Services of Greater Dayton

  • Adult Day Care Clinic/Center
  • Dayton, OH
  • NPI 1639660665
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• United Rehabilitation Services of Greater Dayton

  • Professional Counselor
  • Dayton, OH
  • NPI 1518478387
  NPPES parent name
• United Rehabilitation Services of Greater Dayton

  • Adult Day Care Clinic/Center
  • Dayton, OH
  • NPI 1639660665
  NPPES parent name

Practitioners 1

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

• James Lehner, MD

  • Orthopaedic Surgery Physician
  • Dayton, OH
  • NPI 1487695722
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1053535286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 OLD TROY PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454245740",
            "telephone_number": "937-233-1230",
            "fax_number": "937-236-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 OLD TROY PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454245740",
            "telephone_number": "937-233-1230",
            "fax_number": "937-236-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REHABILITATION SERVICES OF GREATER DAYTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-233-1230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT10492",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT6693",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT007137",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP4338",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP7843",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP8483",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0510772",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIVIDUAL NUMBER",
            "identifier": "000000378664",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP NUMBER PT",
            "identifier": "000000003352",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2561508",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP NUMBER",
            "identifier": "000000221897",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIVIDUAL NUMBER",
            "identifier": "000000550569",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Rehabilitation Services of Greater Datyon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapist in Dayton, OH
• Providers in Dayton, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.