NPIMap

Organization Active NPI

Rehab Educators, LLC

Doing business as Occupational Therapists in Private Practice

  • Occupational Therapist
  • Fairlawn, OH
National Provider Identifier
1245585603
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3324 Issued in OH
Legal business name
REHAB EDUCATORS, LLC
Doing business as
Occupational Therapists in Private Practice
Practice address
50 Baker Blvd
Suite 4
Fairlawn, OH 44333-3674
Phone
(330) 801-4308
NPI assigned
Jul 20, 2012
Last updated
Jul 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Mary Johanna McGuire, MS, OTR/LNPI 1700851797
Title
Administrator
Phone
(330) 620-3502

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 3324 OH Primary
Gerontology Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XG0600X 3324 OH
Low Vision Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XL0004X 3324 OH
Mental Health Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XM0800X 3324 OH
Neurorehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XN1300X 3324 OH
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 3324 OH
Driving and Community Mobility Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XR0403X 3324 OH

Addresses

Primary practice location

50 Baker Blvd
Suite 4
Fairlawn, OH 44333-3674

Mailing address

50 Baker Blvd
Suite 4
Fairlawn, OH 44333-3674
Phone (330) 801-4308

Other names 1

  • Occupational Therapists in Private Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130109000145 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2466605183 Receives reassigned benefits from 6 practitioners
Practice locations: Fairlawn, OH

National Provider Directory

National Provider Directory

Locations

50 Baker Blvd
Ste 4
Fairlawn, OH 44333
Phone (330) 608-2983

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1245585603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BAKER BLVD",
            "address_2": "SUITE 4",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333674",
            "telephone_number": "330-801-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BAKER BLVD",
            "address_2": "SUITE 4",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333674",
            "telephone_number": "330-801-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB EDUCATORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JOHANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-620-3502",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "3324",
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": "OH",
            "license": "3324",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": "OH",
            "license": "3324",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": "OH",
            "license": "3324",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "OH",
            "license": "3324",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "3324",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "OH",
            "license": "3324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Occupational Therapists in Private Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.