Organization Active NPI

Rebound Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Lakewood, OH
National Provider Identifier
1912094707
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8441 Issued in OH
Legal business name
REBOUND PHYSICAL THERAPY, INC
Practice address
11716 Detroit Ave
Lakewood, OH 44107
Phone
(216) 712-7816
Fax
(216) 712-7820
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Mr. Jonathan P Strychasz, PT
Title
VP
Phone
(440) 471-7570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8441 OH Primary

Addresses

Primary practice location

11716 Detroit Ave
Lakewood, OH 44107

Mailing address

PO Box 770980
Lakewood, OH 44107-0043
Phone (440) 471-7570

Other practice location 1

25757 Lorain Rd
North Olmsted, OH 44070-3370
Phone (440) 471-7570

Other practice location 2

7580 Northcliff Ave Ste 600
Cleveland, OH 44144-3272
Phone (216) 485-7865

Other practice location 3

339 Cline Ave
Mansfield, OH 44907-1072
Phone (419) 709-0855

Other identifiers 1

IdentifierTypeStateIssuer
2721326MedicaidOH

National Provider Directory

National Provider Directory

Locations

7580 Northcliff Ave
Ste 600
Cleveland, OH 44144
Phone (216) 485-7865

6571 Brecksville Rd
Ste 2
Independence, OH 44131
Phone (216) 524-9925

28475 Lorain Rd
Unit 639
North Olmsted, OH 44070

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1912094707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770980",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441070043",
            "telephone_number": "440-471-7570",
            "fax_number": "440-471-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11716 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-712-7816",
            "fax_number": "216-712-7820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25757 Lorain Rd",
            "address_purpose": "LOCATION",
            "city": "North Olmsted",
            "state": "OH",
            "postal_code": "440703370",
            "country_code": "US",
            "telephone_number": "440-471-7570",
            "fax_number": "440-471-7644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7580 Northcliff Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441443272",
            "country_code": "US",
            "telephone_number": "216-485-7865",
            "fax_number": "216-485-7864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "339 Cline Ave",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449071072",
            "country_code": "US",
            "telephone_number": "419-709-0855",
            "fax_number": "419-589-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REBOUND PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "STRYCHASZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "440-471-7570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "8441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2721326",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.