Ohio Sports & Spine Institute, LTD

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

OH34004337 Issued in OH

Legal business name

OHIO SPORTS & SPINE INSTITUTE, LTD

Practice address

1265 Boardman Canfield Rd
Boardman, OH 44512-4004

Phone

(330) 758-9400

Fax

(330) 726-8676

NPI assigned

May 18, 2006

Last updated

Dec 8, 2020By 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

Laurie Kleeh, CPA

Title

Practice Manager

Phone

(330) 758-9400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 24

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.

• Maggie P Glaros, DPT

  • Physical Therapist
  • Boardman, OH
  • NPI 1528795911
  Medicare reassignment Care Compare group NPD
• Elizabeth Ann Hritz, DPT

  • Physical Therapist
  • Boardman, OH
  • NPI 1427754787
  Medicare reassignment Care Compare group NPD
• Luke Charles Peterson, DPT

  • Physical Therapist
  • Boardman, OH
  • NPI 1831835958
  Medicare reassignment Care Compare group NPD
• Madison R Rothenbuhler, DPT

  • Physical Therapist
  • Boardman, OH
  • NPI 1215760582
  Medicare reassignment Care Compare group NPD
• Mark Schuler, DPT

  • Physical Therapist
  • East Liverpool, OH
  • NPI 1134864986
  Medicare reassignment Care Compare group NPD
• Daniel W Shobel, DPT

  • Physical Therapist
  • Boardman, OH
  • NPI 1548699242
  Medicare reassignment Care Compare group NPD
• Mariah Denise Welsh, PT, DPT

  • Physical Therapist
  • Youngstown, OH
  • NPI 1205575834
  Medicare reassignment Care Compare group NPD
• Joseph A Cerimele, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Boardman, OH
  • NPI 1982603338
  Medicare reassignment Care Compare group
• Joseph A Didomenico, D.C.

  • Orthopedic Chiropractor
  • Boardman, OH
  • NPI 1508865817
  Medicare reassignment Care Compare group
• John Lowe Dunne Jr., D.O.

  • General Practice Physician
  • Boardman, OH
  • NPI 1912906413
  Medicare reassignment Care Compare group
• Andrew Joseph Hospodar IV, D.C., M.S., L.AC.

  • Sports Physician Chiropractor
  • Boardman, OH
  • NPI 1275933608
  Medicare reassignment Care Compare group
• Stephanie S Porter, L.P.T.

  • Physical Therapist
  • Boardman, OH
  • NPI 1659327880
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1962455196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124004",
            "telephone_number": "330-758-9400",
            "fax_number": "330-726-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124004",
            "telephone_number": "330-758-9400",
            "fax_number": "330-726-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO SPORTS & SPINE INSTITUTE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "KLEEH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "330-758-9400",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "OH",
            "license": "OH34004337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Emeka Ofungwu, M.D.
• Og Medical Services LLC
• Ohio CVS Stores LLC (CVS Pharmacy #16795)
• Ohio CVS Stores LLC (CVS Pharmacy 03302)
• Ohio Naturopathic, LLC (Ohio Naturopathic Wellness Center)
• Ohio Sports and Spine Institute
• Michelle Lynn Oliver, R.N.
• Qaadir E Oliver
• Melanie L. Olsen, MSED
• Nicole Kristin Olshanski, CNM

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Boardman, OH
• Providers in Boardman, OH by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.