Organization Active NPI

Park Ave Therapy and Rehab, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Mansfield, OH
National Provider Identifier
1851572150
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35-085417 Issued in OH
Legal business name
PARK AVE THERAPY AND REHAB, INC.
Practice address
812 Park Ave E
Mansfield, OH 44905-2860
Phone
(419) 589-8819
Fax
(419) 589-8892
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Theodore Togliatti, MDNPI 1275755993
Title
President
Phone
(419) 589-8819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 35-085417 OH Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 50-000720 OH

Addresses

Primary practice location

812 Park Ave E
Mansfield, OH 44905-2860

Mailing address

812 Park Ave E
Mansfield, OH 44905-2860
Phone (419) 589-8819

National Provider Directory

National Provider Directory

Locations

812 Park Ave E
Mansfield, OH 44905
Phone (419) 589-8819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1851572150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 PARK AVE E",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052860",
            "telephone_number": "419-589-8819",
            "fax_number": "419-589-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 PARK AVE E",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052860",
            "telephone_number": "419-589-8819",
            "fax_number": "419-589-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVE THERAPY AND REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "TOGLIATTI",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-589-8819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35-085417",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-000720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.