Universal Rehabilitation Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05821 Issued in OH

Legal business name

UNIVERSAL REHABILITATION SERVICES, LLC

Practice address

6975 Promway Ave NW
North Canton, OH 44720-7321

Phone

(330) 305-6760

Fax

(330) 305-6765

NPI assigned

Sep 4, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Melicent Bussey, PT, CLT, WCC

Title

PT/Owner

Phone

(330) 305-6760

Specialties & licenses 15

Addresses

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1548593791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6975 PROMWAY AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207321",
            "telephone_number": "330-305-6760",
            "fax_number": "330-305-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 PROMWAY AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207321",
            "telephone_number": "330-305-6760",
            "fax_number": "330-305-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "BUSSEY",
        "authorized_official_first_name": "MELICENT",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "330-305-6760",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, CLT, WCC"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "224ZE0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "224ZF0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "05821",
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "OH",
            "license": "05821",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "OH",
            "license": "05821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in North Canton, OH
• Providers in North Canton, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.