NPIMap

Organization Active NPI

Society for Rehabilitation

  • Physical Therapist
  • Mentor, OH
National Provider Identifier
1780719013
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2350 Issued in OH
Legal business name
SOCIETY FOR REHABILITATION
Practice address
9521 Lake Shore Blvd
Mentor, OH 44060-1613
Phone
(440) 352-8993
Fax
(440) 352-6632
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Mr. Richard Kessler
Title
Executive Director
Phone
(440) 352-8993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT2350 OH Primary

Addresses

Primary practice location

9521 Lake Shore Blvd
Mentor, OH 44060-1613

Mailing address

9521 Lake Shore Blvd
Mentor, OH 44060-1613
Phone (440) 352-8993

Other identifiers 1

IdentifierTypeStateIssuer
1408560MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Society for Rehabilitation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1780719013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 LAKE SHORE BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601613",
            "telephone_number": "440-352-8993",
            "fax_number": "440-352-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 LAKE SHORE BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601613",
            "telephone_number": "440-352-8993",
            "fax_number": "440-352-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIETY FOR REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-352-8993",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT2350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1408560",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.