Organization Active NPI

Ironton Physical Medicine and Rehab LLC

  • General Practice Physician
  • Ironton, OH
National Provider Identifier
1326411729
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
IRONTON PHYSICAL MEDICINE AND REHAB LLC
Practice address
901 Park Ave
Ironton, OH 45638-1529
Phone
(740) 532-8888
Fax
(740) 532-1796
NPI assigned
Nov 6, 2015
Last updated
Nov 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Donna Caudill
Title
Office Manager
Phone
(740) 532-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

901 Park Ave
Ironton, OH 45638-1529

Mailing address

901 Park Ave
Ironton, OH 45638-1529
Phone (740) 532-8888

National Provider Directory

National Provider Directory

Locations

3683 Garden Ct
Grove City, OH 43123
Phone (614) 305-5064

901 Park Ave
Ironton, OH 45638
Phone (740) 532-8888

Practitioners & affiliated clinicians

Practitioners 1

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": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1326411729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381529",
            "telephone_number": "740-532-8888",
            "fax_number": "740-532-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381529",
            "telephone_number": "740-532-8888",
            "fax_number": "740-532-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONTON PHYSICAL MEDICINE AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-532-8888"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.