Physicians Diagnostic & Rehabilitation Center of Warren in

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

34.002093 Issued in OH

Legal business name

PHYSICIANS DIAGNOSTIC & REHABILITATION CENTER OF WARREN IN

Practice address

2048 N River Rd NE # 3
Warren, OH 44483-2530

Phone

(330) 372-5550

Fax

(330) 372-5551

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith P Farrell, D.C.

Title

Owner

Phone

(330) 372-5550

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• R. Martin Matiscik, D.C

  • Radiology Chiropractor
  • Boardman, OH
  • NPI 1255402277
  NPD (past)
• Elizabeth Myer, D.O.

  • Neurology Physician
  • Boardman, OH
  • NPI 1134144355
  NPD (past)
• Peter Victor Boyer, D.C.

  • Chiropractor
  • Springfield, VA
  • NPI 1295812550
  NPD (past)
• Nazih S Iskander, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Southfield, MI
  • NPI 1568435683
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1700987229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14465",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445147465",
            "telephone_number": "330-372-5550",
            "fax_number": "330-372-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 N RIVER RD NE # 3",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832530",
            "telephone_number": "330-372-5550",
            "fax_number": "330-372-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS DIAGNOSTIC & REHABILITATION CENTER OF WARREN IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-372-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "OH",
            "license": "3569",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "34.002093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2459307",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Phillips
• Cherin Phillips
• Heather Ann Phillips, CDCA
• Physical Therapy & Sports Rehab, Inc.
• Physician'S Medical Center Inc
• Angela Jean Pickens
• Alexis Pierce, RN
• Kati Pierce
• Lisamarie Pietragallo, NP-C
• Amanda Robin Pilarcik, LPN

• Physical Medicine & Rehabilitation Physician in Warren, OH
• Providers in Warren, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.