NPIMap

Organization Active NPI

East Point Rehabilitation LLC

  • Physical Therapist
  • Oregon, OH
National Provider Identifier
1992991574
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EAST POINT REHABILITATION LLC
Practice address
2815 Dustin Rd
Suite B
Oregon, OH 43616-3497
Phone
(419) 693-0676
Fax
(419) 693-0807
NPI assigned
Sep 18, 2007
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Donald Raymond Walendzak, PTNPI 1386679884
Title
Owner
Phone
(419) 693-0676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2815 Dustin Rd
Suite B
Oregon, OH 43616-3497

Mailing address

2815 Dustin Rd
Suite B
Oregon, OH 43616-3495
Phone (419) 693-0676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071114000371 OH Part B Supplier - Clinic/Group Practice 3577651223 Receives reassigned benefits from 7 practitioners
Practice locations: Oregon, OH; Perrysburg, OH; Toledo, OH

National Provider Directory

National Provider Directory

Locations

10677 Fremont Pike
Ste C
Perrysburg, OH 43551
Phone (567) 331-8726

4747 Suder Ave
Ste 101
Toledo, OH 43611
Phone (419) 720-0100

Practitioners & affiliated clinicians

Practitioners 10

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": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1992991574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 DUSTIN RD",
            "address_2": "SUITE B",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163495",
            "telephone_number": "419-693-0676",
            "fax_number": "419-693-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 DUSTIN RD",
            "address_2": "SUITE B",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163497",
            "telephone_number": "419-693-0676",
            "fax_number": "419-693-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST POINT REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "WALENDZAK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-693-0676",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.