Athena Therapy Holding Co

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009793 Issued in OH

Legal business name

ATHENA THERAPY HOLDING CO

Doing business as

Athena Therapy

Practice address

260 Niles Cortland Rd NE
Warren, OH 44484-1938

Phone

(330) 609-5791

NPI assigned

Aug 28, 2015

Last updated

Feb 13, 2019By 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

Teresa Bradford

Title

President

Phone

(330) 410-3982

Specialties & licenses 3

Addresses

Other names 1

• Athena Therapy Doing business as

Locations

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1992172605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4293 COLUMBIA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567707",
            "telephone_number": "330-410-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841938",
            "telephone_number": "330-609-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA THERAPY HOLDING CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-410-3982"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT009793",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT4846",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP8620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athena Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Athena Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Warren, OH
• Providers in Warren, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.