Superior Rehab, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SUPERIOR REHAB, LLC

Practice address

3477 S Dixie Hwy
Lima, OH 45804-3755

Phone

(419) 331-2161

Fax

(419) 227-7767

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Christopher J Fortman, MPTNPI 1487779567

Title

Co-Owner

Phone

(419) 331-2161

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Christopher Joseph Fortman, MPT

  • Physical Therapist
  • Lima, OH
  • NPI 1487779567
  NPD (past) Authorized official
• Christopher Trent Boop, P.T.

  • Physical Therapist
  • Lima, OH
  • NPI 1427265016
  NPD (past)
• Nicholas D Wilson, PT

  • Physical Therapist
  • Saint Marys, OH
  • NPI 1437233103
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1114042116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 S DIXIE HWY",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043755",
            "telephone_number": "419-331-2161",
            "fax_number": "419-227-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 S DIXIE HWY",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043755",
            "telephone_number": "419-331-2161",
            "fax_number": "419-227-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "FORTMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "419-331-2161",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ANTHEM PIN",
            "identifier": "000000365466",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spenser Sulzener, CRNA
• Suman K Mishr MD Inc
• Amber Sunderland
• Sunrise Home Health, LLC
• Superior Hearing Company, Inc.
• Paul William Svabik, RPH
• SVS Vision Inc
• Teresa Swango, LISW
• Joseph Michael Sweet, CARE PROVIDER
• Omar Amjad Sweidan, OD

• Physical Therapy Clinic/Center in Lima, OH
• Providers in Lima, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.