Individual provider Active NPI

Dawn Tellman

  • Physical Therapist
  • Warren, OH
National Provider Identifier
1073622650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2614 E Market St
Warren, OH 44483-6204
Phone
(330) 394-8282
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2614 E Market St
Warren, OH 44483-6204

Mailing address

4781 Lower Elkton Rd
Leetonia, OH 44431-9632
Phone (330) 482-0620

Other identifiers 1

IdentifierTypeStateIssuer
PT-10911OtherOHLICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081003000135 OH Practitioner - Physical Therapist in Private Practice 1850469925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Rehabilitation of Ohio IncGroup PAC ID 0345159315, 76 clinicians

Practice addresses (Care Compare)

702 W Main St
Louisville, OH 44641-1338
Phone (330) 875-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Rehabilitation of Ohio, Inc. CurrentSince Jul 19, 2023 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. Physical Therapist CurrentSince Jul 19, 2023 Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients

Locations

100 Royal Birkdale Dr
Columbiana, OH 44408
Phone (330) 482-3726

702 W Main St
Louisville, OH 44641
Phone (330) 875-0888

803 E Washington St
Ste 130
Medina, OH 44256
Phone (330) 725-4200

656 Youngstown Warren Rd
Niles, OH 44446
Phone (330) 505-1362

1301 Boardman Poland Rd
Ste H
Poland, OH 44514
Phone (330) 629-6231

2308 Southeast Blvd
Salem, OH 44460
Phone (330) 332-8488

2614 E Market St
Warren, OH 44483
Phone (330) 394-8181

550 S Canfield Niles Rd
Youngstown, OH 44515
Phone (330) 799-4446

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073622650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 LOWER ELKTON RD",
            "city": "LEETONIA",
            "state": "OH",
            "postal_code": "444319632",
            "telephone_number": "330-482-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836204",
            "telephone_number": "330-394-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLMAN",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT-10911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.