Portage Physical Therapists ,Inc

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Legal business name

PORTAGE PHYSICAL THERAPISTS ,INC

Doing business as

Allied Health Rehab Center

Practice address

771 N Freedom St
Ravenna, OH 44266-2470

Phone

(330) 297-9020

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Darbie Ferrera-Mathys

Title

Ceo

Phone

(330) 297-9020

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Allied Health Rehab Center Doing business as

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1326183971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 5TH ST SE",
            "address_2": "SUITE B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442039004",
            "telephone_number": "330-297-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 N FREEDOM ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662470",
            "telephone_number": "330-297-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE PHYSICAL THERAPISTS ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "FERRERA-MATHYS",
        "authorized_official_first_name": "DARBIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-297-9020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0916610",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Health Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Occupational Therapy Assistant in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.