NPIMap

Organization Active NPI

Matrix Rehabilitation Ohio, Inc.

Doing business as Novacare Rehabilitation

  • Rehabilitation Clinic/Center
  • Barberton, OH
National Provider Identifier
1548294549
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MATRIX REHABILITATION OHIO, INC.
Doing business as
Novacare Rehabilitation
Practice address
107 5TH St SE
Suite 7
Barberton, OH 44203-4269
Phone
(330) 753-7400
Fax
(330) 753-1115
NPI assigned
Jul 10, 2006
Last updated
Oct 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Mr. Michael E Tarvin
Title
Vice President & Secretary
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

107 5TH St SE
Suite 7
Barberton, OH 44203-4269

Mailing address

4714 Gettysburg Road
Legal Dept
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other names 1

  • Novacare Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050216000099 OH Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0648180356 2 other NPIs on this enrollment
Practice locations: Hudson, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548294549. Details of each certification follow.

  • CCN 366671 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 366671

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BARBERTON PHYSICAL THERAPY/MATRIX
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Oct 10, 1997
Last certification
May 25, 2017
Ownership / control type
Proprietary
Facility address
107 Fifth Street SE
Barberton, OH 44203

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

107 5th St SE
Ste 7
Barberton, OH 44203
Phone (330) 753-7400

43 S Main St
#1
Munroe Falls, OH 44262
Phone (234) 349-8100

Practitioners & affiliated clinicians

Practitioners 4

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1548294549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG ROAD",
            "address_2": "LEGAL DEPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 5TH ST SE",
            "address_2": "SUITE 7",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034269",
            "telephone_number": "330-753-7400",
            "fax_number": "330-753-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novacare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novacare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.