NPIMap

Organization Active NPI

Fostoria Hospital Association

Doing business as Total Rehab at Fostoria

  • Rehabilitation Clinic/Center
  • Fostoria, OH
National Provider Identifier
1376941633
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
FOSTORIA HOSPITAL ASSOCIATION
Doing business as
Total Rehab at Fostoria
Practice address
455 W 4TH St Ste 10
Fostoria, OH 44830-1864
Phone
(419) 436-2681
NPI assigned
Dec 18, 2014
Last updated
Dec 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Kevin Sharp
Title
VP Rev Cycle
Phone
(567) 585-7576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

455 W 4TH St Ste 10
Fostoria, OH 44830-1864

Mailing address

PO Box 632982
Cincinnati, OH 45263-2982

Other names 1

  • Total Rehab at Fostoria Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150317000214 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638087851 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Fostoria, OH; Bowling Green, OH

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1096N Main St
Bowling Green, OH 43402
Phone (419) 353-7003

455 W 4th St
Ste 30
Fostoria, OH 44830
Phone (419) 436-2618

610 Plaza Dr
Fostoria, OH 44830
Phone (419) 436-8320

Practitioners & affiliated clinicians

Practitioners 69

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.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1376941633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632982",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W 4TH ST STE 10",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448301864",
            "telephone_number": "419-436-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTORIA HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP REV CYCLE",
        "authorized_official_telephone_number": "567-585-7576"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Rehab at Fostoria",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Total Rehab at Fostoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fostoria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.