Active NPI
Rebound Physical Therapy, Inc
- Physical Therapy Clinic/Center
- Lakewood, OH
National Provider Identifier
1912094707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 8441
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2721326 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.