NPIMap

Organization Active NPI

Lake Erie Hand Therapy, Inc.

  • Rehabilitation Clinic/Center
  • Ashtabula, OH
National Provider Identifier
1649405440
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
4347 Issued in OH
Legal business name
LAKE ERIE HAND THERAPY, INC.
Practice address
1956 W Prospect Rd
Ashtabula, OH 44004-6424
Phone
(440) 536-2339
Fax
(440) 964-8805
NPI assigned
May 21, 2009
Last updated
May 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Julie Mirabell, MS, OT/LNPI 1205064425
Title
President
Phone
(440) 536-2339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 4347 OH Primary

Addresses

Primary practice location

1956 W Prospect Rd
Ashtabula, OH 44004-6424

Mailing address

1320 Willow Dr
Ashtabula, OH 44004-2053

National Provider Directory

National Provider Directory

Locations

1956 W Prospect Rd
Ashtabula, OH 44004
Phone (440) 536-2339

Practitioners & affiliated clinicians

Practitioners 1

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": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1649405440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WILLOW DR",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440042053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 W PROSPECT RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046424",
            "telephone_number": "440-536-2339",
            "fax_number": "440-964-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ERIE HAND THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "MIRABELL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-536-2339",
        "authorized_official_credential": "MS, OT/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "OH",
            "license": "4347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.