Therapy Support, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

RSOX. 021908350 Issued in OH

Legal business name

THERAPY SUPPORT, INC.

Practice address

4300 Simon Rd
Boardman, OH 44512-1326

Phone

(330) 953-0553

Fax

(330) 953-0554

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Ruscell D. Pavlin

Title

Medicare Manager

Phone

(417) 380-5105

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1659515815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 N OAK GROVE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034976",
            "telephone_number": "417-887-5873",
            "fax_number": "417-380-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 SIMON RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445121326",
            "telephone_number": "330-953-0553",
            "fax_number": "330-953-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "PAVLIN",
        "authorized_official_first_name": "RUSCELL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEDICARE MANAGER",
        "authorized_official_telephone_number": "417-380-5105"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMER. 22583",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "RSOX. 021908350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "160813",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "056142",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Boardman, OH
• Providers in Boardman, OH by specialty
• Oxygen Equipment & Supplies (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.