PHYSICIANS DIAGNOSTIC & REHABILITATION CENTER INC NPI 1417058009

NPI Information

NPI: 1417058009
Provider Name: PHYSICIANS DIAGNOSTIC & REHABILITATION CENTER INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
914 TRAILWOOD DR
BOARDMAN, OH
ZIP 44512
Phone: (330) 758-6440
Get Directions

PHYSICIANS DIAGNOSTIC & REHABILITATION CENTER INC is a chiropractor in Boardman, OH. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PHYSICIANS DIAGNOSTIC & REHABILITATION CENTER INC NPI is 1417058009. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

914 TRAILWOOD DR
BOARDMAN, OH
ZIP 44512-007
Phone: (330) 758-6440
Fax: (330) 758-6990

The provider's authorized official is Maria Ignazio .
The authorized official title is Office Manager and has the following contact phone number (330) 758-6440.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 1/26/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2081S0010X	Physical Medicine & Rehabilitation	Sports Medicine	34.002093	OHIO	No
2	111N00000X	Chiropractor		2426	OHIO	No
3	111N00000X	Chiropractor		2533	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2318030	MEDICAID	OHIO
2	5297760001	MEDICARE NSC	OHIO
3	9324281	MEDICARE ID-TYPE UNSPECIFIED	OHIO
4	=========-00	OTHER	OHIO	WORKMEN'S COMPENSATION

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

NPI Synchronization or Removal

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