Individual provider Active NPI

Erin Dana Warrender, MPT

  • Physical Therapist
  • Niles, OH
National Provider Identifier
1497724454
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011156 Issued in OH
Practice address
1160 Niles Cortland Rd
Suite a
Niles, OH 44446-3510
Phone
(330) 505-9275
Fax
(330) 505-9306
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011156 OH Primary
Physical Therapist 225100000X PT015507 PA

Addresses

Primary practice location

1160 Niles Cortland Rd
Suite a
Niles, OH 44446-3510

Mailing address

1160 Niles Cortland Rd
Suite a
Niles, OH 44446-3510
Phone (330) 505-9275

Other identifiers 1

IdentifierTypeStateIssuer
2595866MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015507PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rinaldi Physical Therapy PastSince Nov 7, 2006 Accepting new patients
Physical Therapy and Occupational Rehabilitation Inc PastSince Mar 22, 2021 Accepting new patients
Integrative Medical Centers of Ohio Inc PastSince Aug 1, 2005 Accepting new patients
Everett Health Center Inc Physical Therapist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1497724454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 NILES CORTLAND RD",
            "address_2": "SUITE A",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463510",
            "telephone_number": "330-505-9275",
            "fax_number": "330-505-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 NILES CORTLAND RD",
            "address_2": "SUITE A",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463510",
            "telephone_number": "330-505-9275",
            "fax_number": "330-505-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRENDER",
        "first_name": "ERIN",
        "middle_name": "DANA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT011156",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2595866",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.