Organization Active NPI

Youngstown Physical Rehabilitation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Boardman, OH
National Provider Identifier
1184253148
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
YOUNGSTOWN PHYSICAL REHABILITATION
Practice address
5815 Market St Ste 6
Boardman, OH 44512-2915
Phone
(330) 259-9575
Fax
(330) 259-9576
NPI assigned
Apr 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
Dr. Eric J Ubrin, DC
Title
Doctor of Chiropractic
Phone
(330) 259-9575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

5815 Market St Ste 6
Boardman, OH 44512-2915

Mailing address

5815 Market St Ste 6
Boardman, OH 44512-2915
Phone (330) 259-9575

Other identifiers 1

IdentifierTypeStateIssuer
1417348202OtherOHNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jerica.l@injurycentergroup.com Direct

National Provider Directory

National Provider Directory

Locations

5815 Market St
Ste 6
Youngstown, OH 44512
Phone (330) 259-9575

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1184253148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 MARKET ST STE 6",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122915",
            "telephone_number": "330-259-9575",
            "fax_number": "330-259-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 MARKET ST STE 6",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122915",
            "telephone_number": "330-259-9575",
            "fax_number": "330-259-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSTOWN PHYSICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "UBRIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "330-259-9575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417348202",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerica.l@injurycentergroup.com",
            "affiliation": "N",
            "endpointDescription": "work related email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5815 Market St Ste 6",
            "city": "Boardman",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445122915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.