NPIMap

Organization Active NPI

Holiday Park Physical Rehabilitation

  • Physical Therapist
  • Perrysburg, OH
National Provider Identifier
1639364391
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOLIDAY PARK PHYSICAL REHABILITATION
Practice address
27511 Holiday LN
Perrysburg, OH 43551-5315
Phone
(419) 873-3488
NPI assigned
Sep 6, 2007
Last updated
Sep 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Tammy Jean Dunning
Title
Billing Clerk
Phone
(419) 873-3488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

27511 Holiday LN
Perrysburg, OH 43551-5315

Mailing address

27511 Holiday LN
Suite 105
Perrysburg, OH 43551-5315
Phone (419) 873-3488

National Provider Directory

National Provider Directory

Locations

27511 Holiday Ln
Perrysburg, OH 43551
Phone (419) 491-4662

27511 Holiday Ln
Ste 103
Perrysburg, OH 43551
Phone (419) 873-3488

Practitioners & affiliated clinicians

Practitioners 8

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1639364391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27511 HOLIDAY LN",
            "address_2": "SUITE 105",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515315",
            "telephone_number": "419-873-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27511 HOLIDAY LN",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515315",
            "telephone_number": "419-873-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY PARK PHYSICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "DUNNING",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "419-873-3488"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.