Fostoria Hospital Association
Organization Active NPI Rehabilitation Clinic/Center · Fostoria, OH
NPI 1376941633 · NPPES record last updated Dec 22, 2023
Key facts
- NPI
- 1376941633
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- FOSTORIA HOSPITAL ASSOCIATION
- Practice address
- 455 W 4TH St Ste 10
Fostoria, OH 44830-1864 - Phone
- (419) 436-2681
- NPI assigned
- Dec 18, 2014
- Organization subpart
- No
Authorized official
- Name
- Kevin Sharp
- Title
- VP Rev Cycle
- Phone
- (567) 585-7576
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 3
Practitioners 69
-
Caroline Booth, PT, ATC
-
Madison Marie Bowman, PT, DPT
-
Gabrielle Bliss Fox, PT, DPT
-
Jeffery Gulch, P.T.
-
Nichole Marie Lynch, MSN, APRN-CNP
-
Muhammad Sheriff Hefzy, M.D.
-
Patricia Sheehan Kroncke, RN,CNS,APRN
-
Renattie Lenora Perry, NP-C
-
Renu Soni, M.D.
-
Samuel Agubosim, MD
-
David Alan Bitonte, D.O.
-
Todd Brookens, DO
-
James C Chang, M.D.
-
Mary P Clemons, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
1096N Main St
Bowling Green, OH 43402
Phone (419) 353-7003
1180 N Main St
Bowling Green, OH 43402
Phone (419) 315-1225
455 W 4th St
Ste 10
Fostoria, OH 44830
Phone (419) 436-8320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
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
- Total Rehab at Fostoria
Other providers in Fostoria, OH
- Fostoria Community Hospital
- Fostoria Community Hospital
- Fostoria Community Hosptial
- Fostoria Eyecare Inc
- Fostoria Hospital Association
- Fostoria Hospital Association
- Fostoria Hospital Association
- Fostoria Hospital Association
- Fostoria Hospital Association
- Fostoria Hospital Association
All providers in Fostoria, OH · Rehabilitation Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.