Physiomax Rehab,LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1700359 Issued in OH

Legal business name

PHYSIOMAX REHAB,LLC

Doing business as

Celina Physical Therapy

Practice address

326 S Main St
Celina, OH 45822-2245

Phone

(419) 586-2100

Fax

(419) 586-2117

NPI assigned

May 23, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Zefferrelli Quijano Melendrez, PTNPI 1861615809

Title

Physical Therapist

Phone

(419) 302-0744

Specialties & licenses 1

Addresses

Other names 1

• Celina Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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.

• Zefferrelli Melendrez, P.T.

  • Physical Therapist
  • Celina, OH
  • NPI 1861615809
  Medicare reassignment Authorized official
• Sandra Carolyn Bertke, OTR/L

  • Occupational Therapist
  • Celina, OH
  • NPI 1710150487
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912117458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 S MAIN ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458222245",
            "telephone_number": "419-586-2100",
            "fax_number": "419-586-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S MAIN ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458222245",
            "telephone_number": "419-586-2100",
            "fax_number": "419-586-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOMAX REHAB,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MELENDREZ",
        "authorized_official_first_name": "ZEFFERRELLI",
        "authorized_official_middle_name": "QUIJANO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "419-302-0744",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "1700359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celina Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pain Management and Aesthetics LLC
• Kelly J Patterson, PTA
• Shelby Patterson, RN
• Sierra M Perry
• Physical Medicine Center of Van Wert Inc
• Ashley H Place
• Lisa Place
• Emily K Post, AU.D.
• Gina Post
• Haley Pottkotter, MA, MFT

• Physical Therapy Clinic/Center in Celina, OH
• Providers in Celina, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.