NPIMap

Organization Active NPI

Rehab-Bray LLC

  • Orthopedic Physical Therapist
  • Steubenville, OH
National Provider Identifier
1194025452
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT07300 Issued in OH
Legal business name
REHAB-BRAY LLC
Practice address
2716 Sunset Blvd
Steubenville, OH 43952-1155
Phone
(740) 264-0772
Fax
(740) 264-0771
NPI assigned
Nov 2, 2010
Last updated
Nov 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Dr. Robert Paul Runkel, DPTNPI 1437211257
Title
Physical Therapist/Owner
Phone
(740) 264-0772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT07300 OH Primary

Addresses

Primary practice location

2716 Sunset Blvd
Steubenville, OH 43952-1155

Mailing address

2716 Sunset Blvd
Steubenville, OH 43952-1155
Phone (740) 264-0772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101220000835 OH Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8527256460 Practice locations: Steubenville, OH
O20230718000641 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8527256460 Receives reassigned benefits from 1 practitioner
Practice locations: Steubenville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194025452. Details of each certification follow.

  • CCN 366641 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 366641

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REHAB PLUS
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Oct 27, 1994
Last certification
Jun 28, 2018
Ownership / control type
Proprietary
Facility address
2716 Sunset Blvd
Steubenville, OH 43952

National Provider Directory

National Provider Directory

Locations

2716 Sunset Blvd
Steubenville, OH 43952
Phone (740) 264-0772

Practitioners & affiliated clinicians

Practitioners 84

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 84

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1194025452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 SUNSET BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521155",
            "telephone_number": "740-264-0772",
            "fax_number": "740-264-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 SUNSET BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521155",
            "telephone_number": "740-264-0772",
            "fax_number": "740-264-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB-BRAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "RUNKEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "740-264-0772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT07300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.