Cardinal Medical Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CARDINAL MEDICAL REHABILITATION LLC

Practice address

3745 Whipple Ave NW Ste B
Canton, OH 44718-4805

Phone

(330) 526-6146

Fax

(330) 526-6404

NPI assigned

Jul 15, 2020

Last updated

Jul 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ivan Haggins II, PT

Title

Physical Therapist

Phone

(330) 526-6146

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1386252427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 WHIPPLE AVE NW STE B",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184805",
            "telephone_number": "330-526-6146",
            "fax_number": "330-526-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 WHIPPLE AVE NW STE B",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184805",
            "telephone_number": "330-526-6146",
            "fax_number": "330-526-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL MEDICAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "HAGGINS",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "330-526-6146",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Canton",
            "affiliation": "N",
            "endpointDescription": "phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3745 Whipple Ave NW Ste B",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447184805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Canton, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.