Perrysburg Rehabilitation LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT007350 Issued in OH

Legal business name

PERRYSBURG REHABILITATION LLC

Practice address

1900 Indian Wood Cir
Suite 100
Maumee, OH 43537-4033

Phone

(419) 897-9265

Fax

(419) 897-0544

NPI assigned

Jan 24, 2008

Last updated

Jan 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine M Breen, LPT

Title

Owner

Phone

(419) 897-9265

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara M Skilliter, P.T.

  • Physical Therapist
  • Holland, OH
  • NPI 1558544619
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1821275546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 INDIAN WOOD CIR",
            "address_2": "SUITE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374033",
            "telephone_number": "419-897-9265",
            "fax_number": "419-897-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 INDIAN WOOD CIR",
            "address_2": "SUITE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374033",
            "telephone_number": "419-897-9265",
            "fax_number": "419-897-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRYSBURG REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "BREEN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-897-9265",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "PT007350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2188127",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Lynn Perez, RN
• Stacy Perkins, PT
• Stephen James Pero, DDS
• Kaleigh Nikole Perry, CDCA
• Perrysburg Podiatry LLC (Edward F. Szabo, D.P.M.)
• Perspectives Counseling Services LLC
• Julie Lynn Peters, SLP
• Michael E Peters, PT
• Scott Peters, OT
• Lauren L Peterson Jr., CRNA

• Physical Medicine & Rehabilitation Physician in Maumee, OH
• Providers in Maumee, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.