NPIMap

Organization Active NPI

Tudor Home Therapies, Inc

Doing business as Tudor Physical Therapy Centers

  • Physical Therapist
  • Salem, OH
National Provider Identifier
1902278971
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TUDOR HOME THERAPIES, INC
Doing business as
Tudor Physical Therapy Centers
Practice address
1098 N Ellsworth Ave
Suite a
Salem, OH 44460-1536
Phone
(234) 567-4687
Fax
(234) 567-4692
NPI assigned
Oct 29, 2015
Last updated
Jan 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Lauren Lau
Title
Director
Phone
(724) 989-4564

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1098 N Ellsworth Ave
Suite a
Salem, OH 44460-1536

Mailing address

PO Box 392573
Pittsburgh, PA 15251-9573
Phone (330) 953-0129

Other identifiers 1

IdentifierTypeStateIssuer
000000168295OtherOHANTHEM

Other names 1

  • TUDOR PHYSICAL THERAPY CENTERS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000078 OH Part B Supplier - Clinic/Group Practice 1850290644 Receives reassigned benefits from 28 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Youngstown, OH; Warren, OH; Newton Falls, OH; Salem, OH; Poland, OH; Mentor, OH; Columbiana, OH; Boardman, OH

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1098 N Ellsworth Ave
Salem, OH 44460
Phone (234) 567-4687

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1902278971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "330-953-0129",
            "fax_number": "330-953-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 N ELLSWORTH AVE",
            "address_2": "SUITE A",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444601536",
            "telephone_number": "234-567-4687",
            "fax_number": "234-567-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUDOR HOME THERAPIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "724-989-4564"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000168295",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUDOR PHYSICAL THERAPY CENTERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TUDOR PHYSICAL THERAPY CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.