Rehabilitation Specialists of Southwest Ohio

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

REHABILITATION SPECIALISTS OF SOUTHWEST OHIO

Practice address

1 Elizabeth PL
Dayton, OH 45417-3445

Phone

(937) 435-3620

Fax

(937) 435-3660

NPI assigned

May 31, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David K Magnusen, M.D.NPI 1962404640

Title

Owner

Phone

(937) 435-3620

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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.

• David Kenneth Magnusen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Dayton, OH
  • NPI 1962404640
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1831547942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TYLER CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668301",
            "telephone_number": "937-212-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-435-3620",
            "fax_number": "937-435-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SPECIALISTS OF SOUTHWEST OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "MAGNUSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-435-3620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170008",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regen Wound & Wellness
• Regen Wound & Wellness (The Wound Healer)
• Amanda Bethany Reger, MPT
• Rehab Medical LLC
• Rehab to Health LLC
• Matthew Reibly, DPT
• Brooke Lynn Reichard, DO
• Daniel A Reichert, DDS
• Kayhla Reichert
• Graham Kiyoshi Reid, DO RESIDENT/TRAINEE

• Physical Medicine & Rehabilitation Physician in Dayton, OH
• Providers in Dayton, 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 Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.