RE HAB PROFESSIONALS OF CLEVELAND,INC. (NPI# 1659567113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659567113 |
| Entity Type | Organization |
| Organization Name | RE HAB PROFESSIONALS OF CLEVELAND,INC. |
| Practice Address |
12221 Madison Ave Lakewood OH 44107-5029 |
| Mailing Address |
7000 Town Centre Dr Suite 400 Broadview Hts OH 44147-4008 |
| Practice Telephone | 2162212525 |
| Practice Fax Number | 2162212506 |
| Mailing Telephone | 4405368566 |
| Mailing Fax Number | 4405468280 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | EDWARD J. AUBE' (PRESIDENT) |
| Authorized Official Telephone | 4405268566 |
| Authorized Official Credential | P.T. O.C.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2172321 | 05 |
| Street Address |
12221 MADISON AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154352565 | Ann Davis | Physical Therapist | 12221 Madison Ave, Lakewood, OH 44107-5029 | 2006-07-05 |
| 1154441442 | Sara E Faris | Physical Therapist | 12221 Madison Ave, Lakewood, OH 44107-5029 | 2007-03-30 |
| 1598780645 | Stephanie Marie Pritts | Physical Therapist | 12221 Madison Ave, Lakewood, OH 44107-5029 | 2006-07-12 |
| 1114959996 | Anthony Erminio Difilippo | Physical Therapist | 12221 Madison Ave, Lakewood, OH 44107-5029 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569528 | Panorama Orthopedics & Spine Center, PC | Clinic/Center | 3255 S Wadsworth Blvd Ste A-2, Lakewood, CO 80227-5026 | 2020-05-11 |
| 1487289096 | Colorado Pain Practice, LLC | Clinic/Center | 355 Union Blvd Ste 304, Lakewood, CO 80228-6516 | 2020-03-04 |
| 1306497029 | Preferred Therapy of New Jersey | Clinic/Center | 141 Powderhorn Dr, Lakewood, NJ 08701-4143 | 2019-09-24 |
| 1063902385 | Complete Physical Therapy P.s. | Clinic/Center | 7304 Lakewood Dr W Ste 23, Lakewood, WA 98499-7920 | 2018-05-11 |
| 1770091613 | Roost Rehab LLC | Clinic/Center | 65 Arosa Hl, Lakewood, NJ 08701-2133 | 2018-01-12 |
| 1619414141 | Dynamic Rehabilitation, LLC | Clinic/Center | 1195 Coughlin St, Lakewood, NJ 08701-5999 | 2017-01-23 |
| 1114272275 | Select Medical | Clinic/Center | 3355 S Wadsworth Blvd, Suite F-107, Lakewood, CO 80227-5140 | 2012-07-16 |
| 1811280597 | Cherry Creek Wellness Center | Clinic/Center | 605 Parfet St Ste 104, Lakewood, CO 80215-5518 | 2011-05-27 |
| 1174767594 | Comprehensive Fall Care and Rehabilitation Center | Clinic/Center | 1352 River Avenue, Lakewood, NJ 08701 | 2009-04-29 |
| 1023198330 | Physical Therapy of Lakewood LLC | Clinic/Center | 480 S Allison Pkwy, Civic Center S, 2nd Floor, Lakewood, CO 80226-3123 | 2006-10-17 |
| Find all providers in LAKEWOOD | ||||
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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.