Active NPI
Summit Rehabilitation Medicine, Inc.
- Physical Medicine & Rehabilitation Physician
- Copley, OH
National Provider Identifier
1760414247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- SUMMIT REHABILITATION MEDICINE, INC.
- Practice address
- 4389 Medina Rd
Copley, OH 44321-1388 - Phone
- (234) 678-9332
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kennard Ford, MD
- Title
- President
- Phone
- (234) 678-9332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
4389 Medina Rd
Copley, OH 44321-1388
Mailing address
PO Box 14807
Copley, OH 44321-4807
Phone (234) 678-9332
Other practice location 1
3625 Marsh Rd
Stow, OH 44224-5823
Phone (330) 784-9306
Other practice location 2
20 Olive St Ste 200
Akron, OH 44310-3169
Phone (330) 784-9306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0786823 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3975 Embassy Pkwy
Ste 2
Akron, OH 44333
Phone (330) 668-4094
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Centerville, OH
- NPI 1508831603
-
- Physical Medicine & Rehabilitation Physician
- Akron, OH
- NPI 1083980965
-
- Physical Medicine & Rehabilitation Physician
- Akron, OH
- NPI 1982697389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603238400000",
"number": "1760414247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14807",
"city": "COPLEY",
"state": "OH",
"postal_code": "443214807",
"telephone_number": "234-678-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4389 MEDINA RD",
"city": "COPLEY",
"state": "OH",
"postal_code": "443211388",
"telephone_number": "234-678-9332"
}
],
"practiceLocations": [
{
"address_1": "3625 Marsh Rd",
"address_purpose": "LOCATION",
"city": "Stow",
"state": "OH",
"postal_code": "442245823",
"country_code": "US",
"telephone_number": "330-784-9306",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Olive St Ste 200",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443103169",
"country_code": "US",
"telephone_number": "330-784-9306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUMMIT REHABILITATION MEDICINE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "KENNARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "234-678-9332",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0786823",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Copley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.