NPIMap

Organization Active NPI

Integrated Orthopaedic & Sports Rehabilitation,LTD

  • Physical Therapy Clinic/Center
  • Tiffin, OH
National Provider Identifier
1275827149
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT3118 Issued in OH
Legal business name
INTEGRATED ORTHOPAEDIC & SPORTS REHABILITATION,LTD
Practice address
47 Miami St
Tiffin, OH 44883-2226
Phone
(419) 447-0760
Fax
(419) 447-0765
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Brenda S Snavely
Title
Office Manager
Phone
(419) 447-0760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT3118 OH Primary

Addresses

Primary practice location

47 Miami St
Tiffin, OH 44883-2226

Mailing address

PO Box 1089
Tiffin, OH 44883-7089
Phone (419) 447-0760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110803000702 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002085370 Receives reassigned benefits from 4 practitioners
Practice locations: Tiffin, OH

National Provider Directory

National Provider Directory

Locations

47 Miami St
Tiffin, OH 44883
Phone (419) 447-0760

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1275827149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448837089",
            "telephone_number": "419-447-0760",
            "fax_number": "419-447-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MIAMI ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832226",
            "telephone_number": "419-447-0760",
            "fax_number": "419-447-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED ORTHOPAEDIC & SPORTS REHABILITATION,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "SNAVELY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-447-0760"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT3118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.