NPIMap

Organization Active NPI

Fostoria Hospital Association

Doing business as Bowling Green Total Rehab

  • Rehabilitation Clinic/Center
  • Bowling Green, OH
National Provider Identifier
1548631104
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
FOSTORIA HOSPITAL ASSOCIATION
Doing business as
Bowling Green Total Rehab
Practice address
1180 N Main St
Suite 1 & 2
Bowling Green, OH 43402-1388
Phone
(419) 353-7003
NPI assigned
Oct 8, 2015
Last updated
Dec 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Kevin Sharp
Title
Vice President, Revenue Cycle
Phone
(567) 585-7576

Specialties & licenses 1

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

Addresses

Primary practice location

1180 N Main St
Suite 1 & 2
Bowling Green, OH 43402-1388

Mailing address

PO Box 632982
Cincinnati, OH 45263-2982
Phone (419) 353-7003

Other names 1

  • Bowling Green Total Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150317000214 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638087851 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fostoria, OH; Bowling Green, OH

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Fostoria City Hospital14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

1180 N Main St
Bowling Green, OH 43402
Phone (419) 315-1225

1180 N Main St
Ste 1
Bowling Green, OH 43402
Phone (419) 291-8643

Practitioners & affiliated clinicians

Practitioners 7

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": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1548631104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632982",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632982",
            "telephone_number": "419-353-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N MAIN ST",
            "address_2": "SUITE 1 & 2",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021388",
            "telephone_number": "419-353-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTORIA HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "567-585-7576"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowling Green Total Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bowling Green Total Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.