Consultative Physical Medicine & Rehabilitation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

34.008368 Issued in OH

Legal business name

CONSULTATIVE PHYSICAL MEDICINE & REHABILITATION

Practice address

Hickory Creek of Athens
The Plains, OH 45780

Phone

(740) 797-4561

Fax

(740) 797-3614

NPI assigned

Oct 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John E. Minor, D.O.

Title

Owner

Phone

(740) 594-7310

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1548411986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 N MEMORIAL DR # 121",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301632",
            "telephone_number": "740-594-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HICKORY CREEK OF ATHENS",
            "city": "THE PLAINS",
            "state": "OH",
            "postal_code": "45780",
            "telephone_number": "740-797-4561",
            "fax_number": "740-797-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTATIVE PHYSICAL MEDICINE & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-594-7310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "34.008368",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "0102202192",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "25MB05670800",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "176034",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anthony R Davidson, LPCC
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• Deputys Transportation, LLC
• Taylor Dotson, LSW

• Skilled Nursing Facility in The Plains, OH
• Providers in The Plains, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.