SMR BANYAN TREE, INC. (NPI# 1255361556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255361556 |
| Entity Type | Organization |
| Organization Name | SMR BANYAN TREE, INC. |
| Other Organization Name | BANYAN TREE REHABILITATION |
| Practice Address |
3262 Center Rd Suite B Poland OH 44514-2290 |
| Mailing Address |
Po Box 1245 Indiana PA 15701-5245 |
| Practice Telephone | 3307071190 |
| Practice Fax Number | 3307071191 |
| Mailing Telephone | 7244653496 |
| Mailing Fax Number | 2154134682 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2010-06-28 |
| Authorized Official Name | MRS. JAYNE FLECK POOL (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 4694678705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Banyan Tree Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588694889 | Smr Banyan Tree, Inc. | Clinic/Center | 925 N State St, Suite G, Westerville, OH 43082-8023 | 2006-07-03 |
| 1649200049 | Smr Banyan Tree, Inc. | Clinic/Center | 953 E Aurora Rd, Macedonia, OH 44056-1953 | 2006-07-03 |
| 1467481036 | Smr Banyan Tree, Inc. | Clinic/Center | 6833 Commerce Dr, Hubbard, OH 44425-2945 | 2006-07-03 |
| 1679519003 | Smr Banyan Tree, Inc. | Clinic/Center | 5514 Nike Dr, Hilliard, OH 43026-9081 | 2006-06-22 |
| 1750327193 | Smr Banyan Tree, Inc. | Clinic/Center | 3148 Broadway, Suite 302, Grove City, OH 43123-1781 | 2006-06-22 |
| 1942246384 | Smr Banyan Tree, Inc. | Clinic/Center | 156 Granville St, Gahanna, OH 43230-6505 | 2006-06-22 |
| 1497784052 | Smr Banyan Tree, Inc. | Clinic/Center | 5401 Ashley Cir, Suite F, Austintown, OH 44515-1176 | 2006-07-03 |
| 1093744658 | Smr Banyan Tree, Inc. | Clinic/Center | 4930 W Broad St, Suite 2, Columbus, OH 43228-1696 | 2006-07-03 |
| 1689604084 | Smr Banyan Tree, Inc. | Clinic/Center | 140 Highland Terrace Blvd, Suite B, Warren, OH 44484-3074 | 2006-07-03 |
| 1164458329 | Smr Banyan Tree, Inc. | Clinic/Center | 5130 Bradenton Ave, Suite B, Dublin, OH 43017-7068 | 2006-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | SMR BANYAN TREE, INC. | 4175 Veterans Memorial Hwy, Ronkonkoma, NY 11779 |
| Street Address |
3262 CENTER RD SUITE B |
| City | POLAND |
| State | OH |
| Zip Code | 44514-2290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669479044 | Gregory Blasko | Podiatrist | 3262 Center Rd, Poland, OH 44514-2201 | 2005-06-30 |
| 1386116218 | Northern Ohio Medical Specialists, LLC | Durable Medical Equipment & Medical Supplies | 3262 Center Rd, Poland, OH 44514-2290 | 2018-12-17 |
| 1386040780 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3262 Center Rd, Poland, OH 44514-2290 | 2014-11-12 |
| 1356371942 | Brian Brose | Physical Therapist | 3262 Center Rd, Ste B, Poland, OH 44514-2201 | 2006-07-03 |
| 1073554028 | Ankle and Foot Care Centers | Podiatrist | 3262 Center Rd, Poland, OH 44514-2201 | 2006-06-09 |
| 1508863630 | John Chiaro | Podiatrist | 3262 Center Rd, Poland, OH 44514-2201 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456351 | Apex Neuropsychology Center LLC | Psychologist | 819 Southwestern Run #2, Poland, OH 44514 | 2020-01-14 |
| 1770844540 | Marie Josephine Bosio | Counselor | 7711 Forest Hill Ave, Poland, OH 44514 | 2012-06-07 |
| 1912205709 | Joseph Ivey | Occupational Therapy Assistant | 5781 Sheridan Rd. #5, Poland, OH 44514 | 2011-03-03 |
| 1770816316 | M. Maurine Fogarty | Speech-Language Pathologist | 7067 Tiffany Blvd., Poland, OH 44514 | 2009-09-15 |
| 1346462819 | Millennia Women's Healthcare, Inc | Obstetrics & Gynecology | 1040 South Commons, Suite 100, Poland, OH 44514 | 2007-05-03 |
| 1619090891 | Foundation Health Care, Inc. | Family Medicine | 755 Boardman-canfiled Road, Suite F5, Youngstown, OH 44514 | 2007-04-10 |
| 1770605339 | Luis E. Villaplana M.d.,inc | Internal Medicine | 823 Southwestern Run, Youngstown, OH 44514 | 2007-04-04 |
| 1720109127 | Stevens Optical | Technician/Technologist | 1714 Boardman-poland Rd., Boardman, OH 44514 | 2007-04-03 |
| 1568515385 | Jacqueline Ann Chorey | Counselor | 2250 E Western Reserve Rd, Poland, OH 44514 | 2007-01-18 |
| 1790834190 | James E Leonelli | Obstetrics & Gynecology | 1040 South Commons Place, Youngstown, OH 44514 | 2007-01-09 |
| Find all providers in zip 44514 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801286265 | Novacare Rehabilitation of Ohio, Inc. | Clinic/Center | 1305 Boardman Poland Rd, Poland, OH 44514-1935 | 2015-01-23 |
| 1518226596 | Simplehealth, LLC | Clinic/Center | 5600 Oak Rd, Poland, IN 47868-7050 | 2012-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013514 | Dunamis Performance & Physio LLC | Clinic/Center | 115 Mountview Ct, Mount Sterling, OH 43143-1220 | 2020-11-02 |
| 1710592639 | Goal Physical Therapy and Wellness, LLC | Clinic/Center | 427 W Dussel Dr # 295, Maumee, OH 43537-4208 | 2020-09-09 |
| 1942813829 | Fit 4 Life Physical Therapy | Clinic/Center | 7575 Fredle Dr Ste B2, Concord Twp, OH 44077-9413 | 2020-08-28 |
| 1972113462 | Restorative Physical Therapy Co | Clinic/Center | 4770 Indianola Ave Ste 102, Columbus, OH 43214-1862 | 2020-08-09 |
| 1588273825 | Tremont Functional Rehab, LLC | Clinic/Center | 2401 Scranton Rd, Cleveland, OH 44113-4313 | 2020-07-22 |
| 1700402633 | Fusion Home Therapy LLC | Clinic/Center | 3556 Magnolia Dr, Seven Hills, OH 44131-5146 | 2020-06-16 |
| 1528680410 | Resilience Pelvic Physical Therapy and Wellness | Clinic/Center | 17 Pinewood Ln, Hudson, OH 44236-3467 | 2020-05-13 |
| 1023644432 | Bridge Pt, LLC | Clinic/Center | 3748 Sr-7, Optional, Chesapeake, OH 45619 | 2020-03-17 |
| 1518599786 | Meghan E Jackson | Clinic/Center | 781 Bayridge Blvd, Willowick, OH 44095-4241 | 2020-02-06 |
| 1760022735 | Physical Therapy 212, LLC | Clinic/Center | 10 N Market St Ste D, Troy, OH 45373-3281 | 2020-01-08 |
| 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.