SPARTAN REHABILITATION, LLC (NPI# 1952649659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952649659 |
| Entity Type | Organization |
| Organization Name | SPARTAN REHABILITATION, LLC |
| Other Organization Name | SPARTAN REHAB |
| Practice Address |
6431 Mahoning Ave 2 Youngstown OH 44515-2039 |
| Practice Telephone | 3306516824 |
| Practice Fax Number | 3306095553 |
| Mailing Telephone | 3306516824 |
| Mailing Fax Number | 3306095553 |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2014-08-01 |
| Authorized Official Name | MR. DOMINIC KOULIANOS (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3307585533 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
PT8632 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2198643 | 05 |
| Other Name | Type Code |
|---|---|
| Spartan Rehab | Doing Business As Name - Organization |
| Street Address |
6431 MAHONING AVE 2 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44515-2039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
| 1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
| 1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
| 1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
| 1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
| 1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| Find all providers in zip 44515 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609819903 | Keystone Rehabilitation Systems Inc | Clinic/Center | 277 Boardman Canfield Rd, Youngstown, OH 44512-4806 | 2006-06-14 |
| 1932152931 | Atlas Rehab and Wellness Center LLC | Clinic/Center | 1325 Churchill Hubbard Rd, Youngstown, OH 44505-1346 | 2006-05-18 |
| 1770544496 | Johnson Physical Therapy Inc | Clinic/Center | 550 S Canfield Niles Rd, Youngstown, OH 44515-4024 | 2006-03-31 |
| 1679708770 | Keystone Rehabilitation Systems Inc | Clinic/Center | 2010 E Midlothian Blvd, Youngstown, OH 44502-2908 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215569728 | Rehabclinics (spt), Inc. | Clinic/Center | 5999 Meijer Dr, Milford, OH 45150-2191 | 2020-02-12 |
| 1417592486 | Bick's Driving School of Western Hills | Clinic/Center | 6367 Glenway Ave, Cincinnati, OH 45211-6301 | 2019-11-13 |
| 1326506593 | Gehad I Quraan | Clinic/Center | 5139 W 140th St, Cleveland, OH 44142-1755 | 2019-03-06 |
| 1568970077 | Challenged Champions Equestrian Center, Inc. | Clinic/Center | 11913 Road 6, Ottawa, OH 45875 | 2018-01-18 |
| 1669994620 | Kent State University | Clinic/Center | 350 Midway Dr Macc Anx Rm 123, Kent, OH 44242-0001 | 2017-07-12 |
| 1871022046 | Mentis Ohio, LLC | Clinic/Center | 6111 Oak Tree Blvd, Independence, OH 44131-2589 | 2017-06-09 |
| 1215460621 | Athena Therapy Holding Co | Clinic/Center | 798 E Liberty St, Girard, OH 44420-2316 | 2017-04-04 |
| 1558719815 | Center for Stroke and Hand Recovery | Clinic/Center | 32901 Station St., Suite 102, Solon, OH 44139 | 2016-05-27 |
| 1467819805 | Physiotherapy Associates, Inc | Clinic/Center | 3148a West Central Avenue, Toledo, OH 43606-2920 | 2016-01-15 |
| 1336517689 | Absolute Rehabilitation&consulting Services, Inc | Clinic/Center | 7171 Keck Park Cir Nw Ste 128, North Canton, OH 44720-6301 | 2015-09-03 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44515 |
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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.