SPARTAN REHABILITATION LLC NPI 1952649659

NPI Information

NPI: 1952649659
Provider Name: SPARTAN REHABILITATION, LLC

Doing Business As: SPARTAN REHAB

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
6431 MAHONING AVE
2
YOUNGSTOWN, OH
ZIP 44515
Phone: (330) 651-6824
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SPARTAN REHABILITATION, LLC is a rehabilitation clinic center in Youngstown, OH. SPARTAN REHABILITATION, LLC NPI is 1952649659. The provider is registered as an organization entity type.
The provider Is Doing Business As Spartan Rehab.

The provider's business location address is:

6431 MAHONING AVE
2
YOUNGSTOWN, OH
ZIP 44515-039
Phone: (330) 651-6824
Fax: (330) 609-5553

The provider's authorized official is Dominic Koulianos .
The authorized official title is Physical Therapist and has the following contact phone number (330) 758-5533.

The enumeration date for this NPI number is 1/30/2013 and was last updated on 8/1/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	PT8632	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	364513	MEDICARE UPIN	OHIO
2	2198643	MEDICAID	OHIO

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

NPI Synchronization or Removal

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