Organization Active NPI

Rehabilitation Aquatics and Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Toledo, OH
National Provider Identifier
1790141802
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
707224 Issued in OH
Legal business name
REHABILITATION AQUATICS AND PHYSICAL THERAPY, INC.
Practice address
3130 Central Park W
Suite a
Toledo, OH 43617-1094
Phone
(419) 841-9622
Fax
(419) 843-8288
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Mrs. Cindy Marie Binkley
Title
Administrator
Phone
(419) 841-9622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 707224 OH Primary

Addresses

Primary practice location

3130 Central Park W
Suite a
Toledo, OH 43617-1094

Mailing address

3130 Central Park W
Suite a
Toledo, OH 43617-1094
Phone (419) 841-9622

Other identifiers 1

IdentifierTypeStateIssuer
0742647MedicaidOH

Other names 1

  • Central Park West Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Outpatient physical therapy / speech pathology certification: CCN 366573

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CENTRAL PARK WEST HEALTH CENTER
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Feb 24, 1989
Last certification
Sep 2, 2014
Ownership / control type
Proprietary
Facility address
3130 Central Park West Drive, Suite a
Toledo, OH 43617

National Provider Directory

National Provider Directory

Locations

3130 Central Park W
Ste A
Toledo, OH 43617
Phone (419) 841-9622

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1790141802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 CENTRAL PARK W",
            "address_2": "SUITE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171094",
            "telephone_number": "419-841-9622",
            "fax_number": "419-843-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 CENTRAL PARK W",
            "address_2": "SUITE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171094",
            "telephone_number": "419-841-9622",
            "fax_number": "419-843-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION AQUATICS AND PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "BINKLEY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-841-9622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "707224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0742647",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Park West Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.