Active NPI
Athena Therapy Holdings Co
- Physical Therapy Clinic/Center
- Niles, OH
National Provider Identifier
1639635733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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 CO
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.