Organization Active NPI

Fernandez Renner & Scai

  • Physical Therapy Clinic/Center
  • Massillon, OH
National Provider Identifier
1285696732
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FERNANDEZ RENNER & SCAI
Practice address
3244 Bailey St NW
Massillon, OH 44646-3616
Phone
(330) 833-3110
Fax
(330) 833-3115
NPI assigned
Apr 3, 2006
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Mr. Mike Crocker
Title
Business Manager
Phone
(330) 492-1222

Specialties & licenses 1

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

Addresses

Primary practice location

3244 Bailey St NW
Massillon, OH 44646-3616

Mailing address

3244 Bailey St NW
Massillon, OH 44646-3616
Phone (330) 833-3110

Other identifiers 2

IdentifierTypeStateIssuer
CM0529OtherOHMEDICARE ID TYPE UNSPEC
2843043MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1285696732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 BAILEY ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463616",
            "telephone_number": "330-833-3110",
            "fax_number": "330-833-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 BAILEY ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463616",
            "telephone_number": "330-833-3110",
            "fax_number": "330-833-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDEZ RENNER & SCAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "330-492-1222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPEC",
            "identifier": "CM0529",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2843043",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.