NPIMap

Organization Active NPI

Exousia Rehabilitative Services Inc.

  • Early Intervention Provider Agency
  • Youngstown, OH
National Provider Identifier
1649407123
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
OT05585 Issued in OH
Legal business name
EXOUSIA REHABILITATIVE SERVICES INC.
Practice address
211 Redondo Rd
Youngstown, OH 44504-1805
Phone
(330) 788-2115
Fax
(234) 232-7650
NPI assigned
Jun 11, 2009
Last updated
Mar 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Mr. Tarone Claybrook, MA/OTNPI 1750518239
Title
Cfo Chief Financial Officer
Phone
(330) 788-2115

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
Early Intervention Provider Agency 252Y00000X OT05585 OH Primary

Addresses

Primary practice location

211 Redondo Rd
Youngstown, OH 44504-1805

Mailing address

3940 Lockwood Blvd
Youngstown, OH 44511-3522
Phone (330) 788-2115

Other practice location 1

211 Redondo Rd
Youngstown, OH 44504-1805
Phone (330) 788-2115

Other identifiers 2

IdentifierTypeStateIssuer
5003276OtherOHOHIO DODD
3097536MedicaidOH

National Provider Directory

National Provider Directory

Locations

211 Redondo Rd
Youngstown, OH 44504
Phone (330) 727-9563

Practitioners & affiliated clinicians

Practitioners 3

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": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1649407123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 LOCKWOOD BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445113522",
            "telephone_number": "330-788-2115",
            "fax_number": "234-252-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 REDONDO RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041805",
            "telephone_number": "330-788-2115",
            "fax_number": "234-232-7650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Redondo Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041805",
            "country_code": "US",
            "telephone_number": "330-788-2115",
            "fax_number": "234-232-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXOUSIA REHABILITATIVE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "CLAYBROOK",
        "authorized_official_first_name": "TARONE",
        "authorized_official_title_or_position": "CFO CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "330-788-2115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA/OT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "OH",
            "license": "OT05585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DODD",
            "identifier": "5003276",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3097536",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.