Ohio Rehab & Diagnostic Center, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OHIO REHAB & DIAGNOSTIC CENTER, INC.

Practice address

2405 N Columbus St
Suite 140
Lancaster, OH 43130-8185

Phone

(740) 687-5025

Fax

(740) 687-4570

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Edward Kordack

Title

President Ceo

Phone

(740) 687-0036

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407917438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N COLUMBUS ST",
            "address_2": "SUITE 140",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308185",
            "telephone_number": "740-687-5025",
            "fax_number": "740-687-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 N COLUMBUS ST",
            "address_2": "SUITE 140",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308185",
            "telephone_number": "740-687-5025",
            "fax_number": "740-687-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO REHAB & DIAGNOSTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORDACK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "740-687-0036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0460540",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ohio Ophthalmology, Inc.
• Ohio Physical Medicine & Rehabilitation, Inc.
• Ohio Psychiatric Services LLC.
• Ohio Rehab & Diagnostic Center, Inc
• Ohio Rehab & Diagnostic Center, Inc.
• Ohio Sleep Treatment LLC
• Ohrh, LLC
• Old Schoolhouse Family Practice, LLC
• Rebecca Ann Olding, O.D.
• Anthony Olivieri

• Physical Therapy Clinic/Center in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Physical Therapy Clinic/Center in Ohio

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