NPIMap

Organization Active NPI

Rehabilitative Associates Inc

  • Physical Therapist
  • Bucyrus, OH
National Provider Identifier
1104909217
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHABILITATIVE ASSOCIATES INC
Practice address
351 S Lane St
Suite 1
Bucyrus, OH 44820-2319
Phone
(419) 562-6686
Fax
(419) 562-6625
NPI assigned
Oct 23, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Robert Tiell
Title
Partner
Phone
(740) 392-8811

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 2

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

Practitioners 15

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20031124000058 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880598663 Receives reassigned benefits from 11 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bucyrus, OH; Mount Vernon, OH; Mansfield, OH

National Provider Directory

National Provider Directory
Tax ID family
Mohican Sport Medicine and Rehab (3 organizations share this tax ID)

Locations

351 S Lane St
Ste 1
Bucyrus, OH 44820
Phone (419) 562-6686

1265 Lexington Ave
Mansfield, OH 44907
Phone (419) 525-4200

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X

Addresses

NPPES NPI Registry

Primary practice location

351 S Lane St
Suite 1
Bucyrus, OH 44820-2319

Mailing address

112 Harcourt Rd
Suite 1
Mount Vernon, OH 43050-3946
Phone (740) 392-8811

Other names 1

NPPES NPI Registry
  • Mohican Sport Medicine and Rehab Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2009.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1104909217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HARCOURT RD",
            "address_2": "SUITE 1",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503946",
            "telephone_number": "740-392-8811",
            "fax_number": "740-392-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S LANE ST",
            "address_2": "SUITE 1",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202319",
            "telephone_number": "419-562-6686",
            "fax_number": "419-562-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATIVE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "TIELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "740-392-8811"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohican Sport Medicine and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.