GREAT EAST REHABILITATION, LLC (NPI# 1154629004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154629004 |
| Entity Type | Organization |
| Organization Name | GREAT EAST REHABILITATION, LLC |
| Practice Address |
953 Niles Cortland Rd Se Warren OH 44484-2538 |
| Mailing Address |
2103 Niles Cortland Rd Se Warren OH 44484-3067 |
| Practice Telephone | 3306522287 |
| Practice Fax Number | 3305443904 |
| Mailing Telephone | 3306522287 |
| Mailing Fax Number | 3305443904 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-04 |
| Authorized Official Name | MRS. ANGELA MULICHAK (BILLING COORDINATOR) |
| Authorized Official Telephone | 3306522287 |
| Is Organization Subpart | Y |
| Parent Organization Name | 2103 NILES CORTLAND ROAD SE WARREN, OH 44484-3067 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT006881 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
953 NILES CORTLAND RD SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316066939 | Kevin A Psznick | Physical Therapist | 953 Niles Cortland Rd Se, Warren, OH 44484-2538 | 2007-03-28 |
| 1750649158 | Weeks Therapy Services LLC | Physical Therapist | 953 Niles Cortland Rd Se, Warren, OH 44484-2538 | 2012-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205119666 | Lisa Marie Giorgi | Physical Therapist | 27472 Schoenherr Rd Ste 130, Warren, MI 48088-6675 | 2011-09-22 |
| 1023325438 | Mendelson Orthopedics PC | Physical Therapist | 27472 Schoenherr, Suite 130, Warren, MI 48088-8901 | 2010-09-07 |
| 1225133762 | Fino John Amalio | Physical Therapist | 30078 Schoenherr Rd Ste 200, Warren, MI 48088-3178 | 2006-09-13 |
| 1003150111 | Gillian Deyoung | Physical Therapist | 3665 E 11 Mile Rd, Suite B, Warren, MI 48092-4300 | 2012-11-15 |
| 1952699795 | Nicholas Alan Sanders | Physical Therapist | 140 Highland Terrace Blvd, Warren, OH 44484-3074 | 2011-07-14 |
| 1902115769 | Great East Rehabilitation LLC | Physical Therapist | 2103 Niles Cortland Rd Se, Warren, OH 44484-3067 | 2010-09-28 |
| 1114118775 | Fatema Idris Taher | Physical Therapist | 29703 Hoover Rd, Warren, MI 48093-8901 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892124 | Absolute Kinetics Physical Therapy, LLC | Physical Therapist | 2128 Madison Rd, Cincinnati, OH 45208-3287 | 2020-08-18 |
| 1962011460 | Kaitlin Marie Bronikowski | Physical Therapist | 925 N State St Ste G, Westerville, OH 43082-8023 | 2020-07-30 |
| 1144857145 | Tyler James Hewett | Physical Therapist | 7010 Engle Rd Ste 105, Middleburg Heights, OH 44130-8401 | 2020-03-27 |
| 1205463486 | Michael Russo | Physical Therapist | 29800 Bainbridge Rd # So40, Solon, OH 44139-2202 | 2020-03-26 |
| 1477184646 | Competitive Edge Physical Therapy and Performance | Physical Therapist | 5754 Thorton St Apt 103, Westerville, OH 43081-7196 | 2020-01-28 |
| 1902362692 | Onsite Pt LLC | Physical Therapist | 576 Industrial Pkwy, Chagrin Falls, OH 44022-4413 | 2019-02-18 |
| 1356805543 | Shawn R Notarione | Physical Therapist | 50 Baker Blvd Ste O, Fairlawn, OH 44333-3674 | 2019-01-22 |
| 1780156810 | Matthew Adam Longfellow | Physical Therapist | 1195 Chesapeake Ave, Columbus, OH 43212-2238 | 2018-12-31 |
| 1992276422 | Carolyn Sue Rauh | Physical Therapist | 150 Schwieterman St, Minster, OH 45865-8729 | 2018-12-10 |
| 1629547708 | Maureen Bauman | Physical Therapist | 5 Severance Cir Ste 115, Cleveland Heights, OH 44118-1513 | 2018-11-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.