Organization Active NPI

Northside Rehabilitation

Doing business as WellWorks, Inc.

  • Physical Therapy Clinic/Center
  • Akron, OH
National Provider Identifier
1396926416
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT7378 Issued in OH
Legal business name
NORTHSIDE REHABILITATION
Doing business as
WellWorks, Inc.
Practice address
150 Springside Drive
Suite B250
Akron, OH 44333-4572
Phone
(330) 664-1600
Fax
(330) 664-1606
NPI assigned
Nov 16, 2007
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Mr. David B Butler, MPT
Title
Ceo, President
Phone
(330) 664-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT7378 OH Primary

Addresses

Primary practice location

150 Springside Drive
Suite B250
Akron, OH 44333-4572

Mailing address

150 Springside Drive
Suite B250
Akron, OH 44333-4572
Phone (330) 664-1600

Other identifiers 2

IdentifierTypeStateIssuer
2430113MedicaidOH
2430140MedicaidOH

Other names 1

  • WellWorks, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

150 Springside Dr
Ste 250B
Akron, OH 44333
Phone (330) 664-1600

26851 Miles Rd
Ste 206
Warrensville Heights, OH 44128
Phone (216) 364-0345

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": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1396926416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SPRINGSIDE DRIVE",
            "address_2": "SUITE B250",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443334572",
            "telephone_number": "330-664-1600",
            "fax_number": "330-664-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SPRINGSIDE DRIVE",
            "address_2": "SUITE B250",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443334572",
            "telephone_number": "330-664-1600",
            "fax_number": "330-664-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "330-664-1600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT7378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2430113",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2430140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellWorks, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.