Comprehensive Rehabilitation Group Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3364 Issued in OH

Legal business name

COMPREHENSIVE REHABILITATION GROUP INC

Doing business as

Maumee Physical Therapy & Aquatics Center

Practice address

1675 Lance Pointe Drive
Maumee, OH 43537-1678

Phone

(419) 891-9800

Fax

(419) 891-0989

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Peters, PT

Title

Ceo

Phone

(419) 891-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maumee Physical Therapy & Aquatics Center Doing business as

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902844350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 LANCE POINTE DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371678",
            "telephone_number": "419-891-9800",
            "fax_number": "419-891-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LANCE POINTE DRIVE",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371678",
            "telephone_number": "419-891-9800",
            "fax_number": "419-891-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE REHABILITATION GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-891-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "3364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2422131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maumee Physical Therapy & Aquatics Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Maumee, OH
• Providers in Maumee, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.