Weston Rehabilitation Ohio LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WESTON REHABILITATION OHIO LLC

Doing business as

Lamplight Inn of Dayton

Practice address

3797 Summit Glen Drive
Dayton, OH 45449-3661

Phone

(937) 436-6155

Fax

(937) 436-0480

NPI assigned

Nov 5, 2010

Organization subpart

No

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

Authorized official

Name

Granger Cobb

Title

President

Phone

(206) 298-2909

Specialties & licenses 3

Addresses

Other names 1

• Lamplight Inn of Dayton Doing business as

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1225339393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211031",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3797 SUMMIT GLEN DRIVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493661",
            "telephone_number": "937-436-6155",
            "fax_number": "937-436-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTON REHABILITATION OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "GRANGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lamplight Inn of Dayton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Dayton, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.