NPIMap

Organization Active NPI

Sports Rehabilitation Consultants, Inc.

  • Physical Therapist
  • Cleveland, OH
National Provider Identifier
1073565883
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTS REHABILITATION CONSULTANTS, INC.
Practice address
3866 Carnegie Ave
Cleveland, OH 44115-2718
Phone
(216) 621-0022
Fax
(216) 621-5479
NPI assigned
May 17, 2006
Last updated
Jan 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Mr. Russell Weinman, P.T., A.T.C.NPI 1568536639
Title
Owner/President
Phone
(216) 621-0022

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X OH Primary

Addresses

Primary practice location

3866 Carnegie Ave
Cleveland, OH 44115-2718

Mailing address

3866 Carnegie Ave
Cleveland, OH 44115-2718
Phone (216) 621-0022

National Provider Directory

National Provider Directory

Locations

3866 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-0022

Practitioners & affiliated clinicians

Practitioners 2

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1073565883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3866 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152718",
            "telephone_number": "216-621-0022",
            "fax_number": "216-621-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3866 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152718",
            "telephone_number": "216-621-0022",
            "fax_number": "216-621-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS REHABILITATION CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "WEINMAN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "216-621-0022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T., A.T.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.