NPIMap

Organization Active NPI

Rehabilitation & Physical Medicine Clinic LLC

  • Chiropractor
  • Lima, OH
National Provider Identifier
1932677853
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REHABILITATION & PHYSICAL MEDICINE CLINIC LLC
Practice address
750 W High St Ste 200
Lima, OH 45801-3995
Phone
(419) 224-8007
Fax
(419) 516-4881
NPI assigned
Nov 8, 2018
Last updated
Dec 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Matthew EllisNPI 1598739187
Title
Owner / Chiropractor
Phone
(419) 224-8007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

750 W High St Ste 200
Lima, OH 45801-3995

Mailing address

750 W High St Ste 200
Lima, OH 45801-3995
Phone (419) 224-8007

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1932677853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST STE 200",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013995",
            "telephone_number": "419-224-8007",
            "fax_number": "419-516-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST STE 200",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013995",
            "telephone_number": "419-224-8007",
            "fax_number": "419-516-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION & PHYSICAL MEDICINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "419-224-8007"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

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