Organization Active NPI

Physical Rehabilitation Services LLC

  • Physical Therapist
  • Wintersville, OH
National Provider Identifier
1801308986
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL REHABILITATION SERVICES LLC
Practice address
860 Main St
Wintersville, OH 43953-3870
Phone
(740) 264-9500
Fax
(740) 266-6394
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Dr. David Ray Bowden II, DC
Title
Owner/Sole Member
Phone
(740) 424-9157

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

860 Main St
Wintersville, OH 43953-3870

Mailing address

860 Main St
Wintersville, OH 43953-3870
Phone (740) 264-9500

Other practice location 1

1007 Franklin St
Toronto, OH 43964-1153
Phone (740) 537-2000

Other practice location 2

320 S Hollywood Blvd
Steubenville, OH 43952-2423
Phone (740) 264-5559

Other identifiers 1

IdentifierTypeStateIssuer
0260052MedicaidOH

Other names 1

  • Physical Therapy Associates Doing business as

National Provider Directory

National Provider Directory

Locations

320 S Hollywood Blvd
Steubenville, OH 43952
Phone (740) 264-2205

860 Main St
Wintersville, OH 43953
Phone (704) 264-9500

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1801308986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533870",
            "telephone_number": "740-264-9500",
            "fax_number": "740-266-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533870",
            "telephone_number": "740-264-9500",
            "fax_number": "740-266-6394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Toronto",
            "state": "OH",
            "postal_code": "439641153",
            "country_code": "US",
            "telephone_number": "740-537-2000",
            "fax_number": "740-537-9440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 S Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439522423",
            "country_code": "US",
            "telephone_number": "740-264-5559",
            "fax_number": "740-264-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "740-424-9157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0260052",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wintersville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.