Athena Therapy Holding Co

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ATHENA THERAPY HOLDING CO

Practice address

798 E Liberty St
Girard, OH 44420-2316

Phone

(330) 545-6550

Fax

(330) 545-6877

NPI assigned

Apr 6, 2017

Organization subpart

No

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

Authorized official

Name

Teresa Bradford, RN

Title

President

Phone

(330) 410-3982

Specialties & licenses 3

Addresses

Other names 1

• Athena Therapy Doing business as

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1740713833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4293 COLUMBIA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567707",
            "telephone_number": "330-410-3982",
            "fax_number": "330-451-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 E LIBERTY ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202316",
            "telephone_number": "330-545-6550",
            "fax_number": "330-545-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA THERAPY HOLDING CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-410-3982",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athena Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Athena Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Athena Therapy Holding Co
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• Joseph J Baytosh, DDS
• Paul Michael Bertolasio, DDS
• Boardman Medical Supply Co

• All providers in Girard, OH
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.