Organization Active NPI

Athena Therapy Holdings Co

  • Physical Therapy Clinic/Center
  • Niles, OH
National Provider Identifier
1639635733
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ATHENA THERAPY HOLDINGS CO
Practice address
1250 Youngstown Warren Rd Ste B
Niles, OH 44446-4649
Phone
(330) 989-3893
NPI assigned
Feb 13, 2019
Organization subpart
Yes
Parent organization
ATHENA THERAPY HOLDINGS COAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Teresa Bradford
Title
President
Phone
(330) 410-3982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1250 Youngstown Warren Rd Ste B
Niles, OH 44446-4649

Mailing address

4293 Columbia Rd
Medina, OH 44256-7707
Phone (330) 410-3982

National Provider Directory

National Provider Directory
Part of
Athena Therapy Holding Co

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1639635733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4293 COLUMBIA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567707",
            "telephone_number": "330-410-3982",
            "fax_number": "330-451-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 YOUNGSTOWN WARREN RD STE B",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464649",
            "telephone_number": "330-989-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA THERAPY HOLDINGS CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA THERAPY HOLDINGS CO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-410-3982"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.