Organization Active NPI

Re Hab Professionals of Cleveland,Inc.

  • Physical Therapy Clinic/Center
  • Lakewood, OH
National Provider Identifier
1659567113
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RE HAB PROFESSIONALS OF CLEVELAND,INC.
Practice address
12221 Madison Ave
Lakewood, OH 44107-5029
Phone
(216) 221-2525
Fax
(216) 221-2506
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Edward J. Aube', P.T. O.C.S.
Title
President
Phone
(440) 526-8566

Specialties & licenses 1

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

Addresses

Primary practice location

12221 Madison Ave
Lakewood, OH 44107-5029

Mailing address

7000 Town Centre Dr
Suite 400
Broadview HTS, OH 44147-4008
Phone (440) 536-8566

Other identifiers 1

IdentifierTypeStateIssuer
2172321MedicaidOH

National Provider Directory

National Provider Directory

Locations

12221 Madison Ave
Lakewood, OH 44107
Phone (216) 221-2525

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1659567113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 TOWN CENTRE DR",
            "address_2": "SUITE 400",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441474008",
            "telephone_number": "440-536-8566",
            "fax_number": "440-546-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075029",
            "telephone_number": "216-221-2525",
            "fax_number": "216-221-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE HAB PROFESSIONALS OF CLEVELAND,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "AUBE'",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-526-8566",
        "authorized_official_credential": "P.T. O.C.S."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2172321",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.