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EASTER SEAL REHABILITATION CENTER INC. NPI 1134124647


NPI Information

NPI: 1134124647
Provider Name: EASTER SEAL REHABILITATION CENTER, INC.
Classification: Physical Medicine & Rehabilitation - 2081P0010X
Entity Type: Organization

Specialization: Pediatric Rehabilitation Medicine

Address:
1305 NATIONAL RD
WHEELING, WV
ZIP 26003
Phone: (304) 242-1390
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EASTER SEAL REHABILITATION CENTER, INC. is a pediatric rehabilitation medicine physical medicine rehabilitation in Wheeling, WV. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. EASTER SEAL REHABILITATION CENTER, INC. NPI is 1134124647. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1305 NATIONAL RD
WHEELING, WV
ZIP 26003-705
Phone: (304) 242-1390
Fax: (304) 243-5880

The provider's authorized official is Jay E Prager .
The authorized official title is Ceo/president and has the following contact phone number (304) 242-1390.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 3/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3231H00000XAudiologistNo
4235Z00000XSpeech-Language PathologistNo
52081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine13871WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19315642MEDICARE PINOHIO
20008998000MEDICAIDWEST VIRGINIA
30641961MEDICAIDOHIO
4516516MEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
59315641MEDICARE PINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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