Vital Pelvic Health and Wellness LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

VITAL PELVIC HEALTH AND WELLNESS LLC

Practice address

58 S Main St Ste 4
Poland, OH 44514-1978

Phone

(330) 259-8006

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Paige K Genova, MOT, OTR/LNPI 1275936940

Title

Owner/Ceo

Phone

(330) 718-3482

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paige Genova, OT

  • Occupational Therapist
  • Poland, OH
  • NPI 1275936940
  NPD Authorized official

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1083365225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 KAUFMAN RD",
            "city": "ENON VALLEY",
            "state": "PA",
            "postal_code": "161203316",
            "telephone_number": "330-718-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 S MAIN ST STE 4",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141978",
            "telephone_number": "330-259-8006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 W McKinley Way Unit 7",
            "address_purpose": "LOCATION",
            "city": "Poland",
            "state": "OH",
            "postal_code": "445143909",
            "country_code": "US",
            "telephone_number": "330-718-3482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAL PELVIC HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "GENOVA",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "330-718-3482",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.