Southwest Injury and Rehab Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTHWEST INJURY AND REHAB CENTER, INC.

Doing business as

Pike Therapy Center

Practice address

7391 Brandt Pike Ste C
Dayton, OH 45424-3274

Phone

(937) 236-1705

Fax

(937) 236-1735

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tamera Fugate

Title

Office Manager

Phone

(937) 236-1705

Specialties & licenses 1

Addresses

Other names 1

• Pike Therapy Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 6

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

• Timothy Brinkman, DC

  • Rehabilitation Chiropractor
  • Portland, OR
  • NPI 1932734688

  OH

  Medicare reassignment Care Compare group NPD
• Chase Picman, DC

  • Chiropractor
  • Alpharetta, GA
  • NPI 1245807577

  OH

  Medicare reassignment Care Compare group NPD
• Reva Adkins, LMT

  • Massage Therapist
  • Huber Heights, OH
  • NPI 1104781970
  NPD
• Persia Lane, LMT - 33.026308

  • Massage Therapist
  • Dayton, OH
  • NPI 1184437808
  NPD
• Ted J Murdock, D.C.

  • Chiropractor
  • Huber Heights, OH
  • NPI 1003812066
  NPD
• Kaleah Thompson, LMT

  • Massage Therapist
  • Huber Heights, OH
  • NPI 1841024312

  Single Specialty

  NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1295341204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7391 BRANDT PIKE STE C",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454243274",
            "telephone_number": "937-236-1705",
            "fax_number": "937-236-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7391 BRANDT PIKE STE C",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454243274",
            "telephone_number": "937-236-1705",
            "fax_number": "937-236-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST INJURY AND REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "FUGATE",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-236-1705",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Piketherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office Managers Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "7391 Brandt Pike Ste C",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454243274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pike Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rochelle Lenore Southard, RN,CDE
• Sage Southers, CDCA
• Wesley Allen Southers, CDCA
• Southview Hospital Pharmacy
• Southview Pathologists, Inc
• Southwest Ohio ENT Specialists Inc
• Elijah Sowers
• Emily L Sowers, RN
• Laura Sowers, MA
• Larry George Spade, PTA

• Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.