Portage Therapy Services Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PORTAGE THERAPY SERVICES INC

Practice address

2728 Warren Burton Rd
Southington, OH 44470-9742

Phone

(330) 307-4659

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Wendy Davis

Title

Owner

Phone

(330) 307-4659

Specialties & licenses 1

Addresses

Practitioners 4

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

• Rebecca Jean Gambow, OTR/L

  • Occupational Therapist
  • Southington, OH
  • NPI 1861174450
  NPD
• Courtney Nicole Hudzik, MS OTR/L

  • Occupational Therapist
  • Southington, OH
  • NPI 1619639309
  NPD
• Ashley Tomassetti, COTA

  • Occupational Therapy Assistant
  • Southington, OH
  • NPI 1669916011
  NPD (past)
• Tiffani Volk

  • Occupational Therapy Assistant
  • Akron, OH
  • NPI 1437608239
  NPD (past)

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1245085265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 WARREN BURTON RD",
            "city": "SOUTHINGTON",
            "state": "OH",
            "postal_code": "444709742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 WARREN BURTON RD",
            "city": "SOUTHINGTON",
            "state": "OH",
            "postal_code": "444709742",
            "telephone_number": "330-307-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-307-4659"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Holko
• Robert Hrudka
• Courtney Nicole Hudzik, MS OTR/L
• Ava Lavelle
• Denise R Palumbo
• Sherry Shaffer Hagman, CRC LCP
• Anna Shivers, COTA/L
• Southington Local Schools
• Southington Township Trustees
• Ashley Tomassetti, COTA

• Occupational Therapist in Southington, OH
• Providers in Southington, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.