Pymatuning Rehabilitation Services

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Legal business name

PYMATUNING REHABILITATION SERVICES

Practice address

571 Goodale Rd
Jefferson, OH 44047-9503

Phone

(440) 576-7278

Fax

(440) 576-8432

NPI assigned

May 9, 2007

Organization subpart

No

Name

Mrs. Carol J. Mentges, SLP

Title

President Ceo

Phone

(440) 293-7278

Locations

• PRS Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2015.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1821202128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 GOODALE RD",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440479503",
            "telephone_number": "440-576-7278",
            "fax_number": "440-576-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 GOODALE RD",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440479503",
            "telephone_number": "440-576-7278",
            "fax_number": "440-576-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYMATUNING REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "MENTGES",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "440-293-7278",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002219",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Shane Paxson, PHARMD
• Kylie Radmore
• Daniel William Rankin
• Gregory M. Ray, D. C.
• Robert Reinhard Jr.
• Arlene Irene Rice, DDS

• All providers in Jefferson, OH
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.