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SOUTHWOODS REHABILIATION LLC NPI 1245649284


NPI Information

NPI: 1245649284
Provider Name: SOUTHWOODS REHABILIATION LLC

Doing Business As: SOUTHWOODS PHYSICAL THERAPY

Classification: Special Hospital - 284300000X
Entity Type: Organization

CLIA Number: 36D2273827

Address:
3804 ELM RD NE
WARREN, OH
ZIP 44483
Phone: (330) 372-0207
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SOUTHWOODS REHABILIATION LLC is a special hospital in Warren, OH. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. SOUTHWOODS REHABILIATION LLC NPI is 1245649284. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Southwoods Physical Therapy.

The provider's business location address is:

3804 ELM RD NE
WARREN, OH
ZIP 44483-600
Phone: (330) 372-0207
Fax: (330) 372-0206

The provider's authorized official is Edward Muransky .
The authorized official title is Ceo and has the following contact phone number (330) 758-1954.

The CLIA number assigned to this NPI record is 36D2273827 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2014 and was last updated on 8/10/2014.


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
3235Z00000XSpeech-Language PathologistNo
4261QA1903XClinic/CenterAmbulatory Surgical0046ASOHIONo
5282N00000XGeneral Acute Care Hospital1485OHIONo
6284300000XSpecial HospitalYes

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
13610712MEDICARE PINOHIO
236-0352OTHEROHIOCMS CERTIFICATION NUMBER
32369619MEDICAIDOHIO

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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