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SUPERIOR REHAB LLC NPI 1114042116


NPI Information

NPI: 1114042116
Provider Name: SUPERIOR REHAB, LLC
Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

Address:
3477 S DIXIE HWY
LIMA, OH
ZIP 45804
Phone: (419) 331-2161
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SUPERIOR REHAB, LLC is a physical therapy clinic center in Lima, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. SUPERIOR REHAB, LLC NPI is 1114042116. The provider is registered as an organization entity type.

The provider's business location address is:

3477 S DIXIE HWY
LIMA, OH
ZIP 45804-755
Phone: (419) 331-2161
Fax: (419) 227-7767

The provider's authorized official is Christopher J Fortman .
The authorized official title is Co-owner and has the following contact phone number (419) 331-2161.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 12/8/2008.


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
1261QP2000XClinic/CenterPhysical TherapyYes

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
1SU9354781MEDICARE ID-TYPE UNSPECIFIEDOHIOPT GROUP NUMBER
2000000365466OTHEROHIOGROUP ANTHEM PIN
3=========00OTHEROHIOBWC NUMBER

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: 11/14/2023

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