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GREAT EAST REHABILITATION LLC NPI 1902115769


NPI Information

NPI: 1902115769
Provider Name: GREAT EAST REHABILITATION LLC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
2103 NILES CORTLAND RD SE
WARREN, OH
ZIP 44484
Phone: (330) 652-2287
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GREAT EAST REHABILITATION LLC is an orthopedic physical therapist in Warren, OH. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. GREAT EAST REHABILITATION LLC NPI is 1902115769. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2103 NILES CORTLAND RD SE
WARREN, OH
ZIP 44484-067
Phone: (330) 652-2287
Fax: (330) 544-3904

The provider's authorized official is Angela R Mulichak .
The authorized official title is Contract Coordinator and has the following contact phone number (330) 652-2287.

The enumeration date for this NPI number is 9/28/2010 and was last updated on 9/28/2010.


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
12251X0800XPhysical TherapistOrthopedicPT004636OHIOYes

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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