NPIMap

Organization Active NPI

Southwoods Rehabiliation LLC

Doing business as Southwoods Physical Therapy

  • Special Hospital
  • Warren, OH
National Provider Identifier
1245649284
Registry record updated Aug 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
SOUTHWOODS REHABILIATION LLC
Doing business as
Southwoods Physical Therapy
Practice address
3804 Elm Rd NE
Warren, OH 44483-2600
Phone
(330) 372-0207
Fax
(330) 372-0206
NPI assigned
Aug 4, 2014
Organization subpart
Yes
Parent organization
THE SURGERY CENTER AT SOUTHWOODS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2014

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

Authorized official

Name
Mr. Edward Muransky
Title
Ceo
Phone
(330) 758-1954

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X
Ambulatory Surgical Clinic/Center 261QA1903X 0046AS OH
General Acute Care Hospital 282N00000X 1485 OH
Special Hospital 284300000X Primary

Addresses

Primary practice location

3804 Elm Rd NE
Warren, OH 44483-2600

Mailing address

7630 Southern Blvd
Boardman, OH 44512-5633
Phone (330) 729-8001

Other identifiers 2

IdentifierTypeStateIssuer
36-0352OtherOHCMS CERTIFICATION NUMBER
2369619MedicaidOH

Other names 1

  • SOUTHWOODS PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Surgery Center at Southwoods LLC12 organizations share this tax ID, including this one
Part of
The Surgery Center at Southwoods LLC

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3804 Elm Rd NE
Warren, OH 44483
Phone (330) 372-0207

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407628800000",
    "number": "1245649284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 SOUTHERN BLVD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125633",
            "telephone_number": "330-729-8001",
            "fax_number": "330-729-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 ELM RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832600",
            "telephone_number": "330-372-0207",
            "fax_number": "330-372-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWOODS REHABILIATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SURGERY CENTER AT SOUTHWOODS LLC",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-10",
        "status": "A",
        "authorized_official_last_name": "MURANSKY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-758-1954",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0046AS",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "1485",
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER",
            "identifier": "36-0352",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2369619",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWOODS PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2014; 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.