INTERDISCIPLINARY MEDICAL MGT (NPI# 1104904663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104904663 |
| Entity Type | Organization |
| Organization Name | INTERDISCIPLINARY MEDICAL MGT |
| Other Organization Name | GREAT EAST REHAB INC |
| Practice Address |
2103 Niles Cortland Rd Warren OH 44484 |
| Practice Telephone | 3305443737 |
| Practice Fax Number | 3305443904 |
| Mailing Telephone | 3305443737 |
| Mailing Fax Number | 3305443904 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CATHERINE A STYCHNO (PRESIDENT) |
| Authorized Official Telephone | 3305443737 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225100000X | Physical Therapist | 6881 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | 6881 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2365202 | 05 |
| Other Name | Type Code |
|---|---|
| Great East Rehab Inc | Doing Business As Name - Organization |
| Street Address |
2103 NILES CORTLAND RD |
| City | WARREN |
| State | OH |
| Zip Code | 44484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518006626 | Nestor A Stychno | Chiropractor | 2103 Niles Cortland Rd, Warren, OH 44484 | 2007-02-05 |
| 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 | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443874 | Vasu T Shah | Physical Therapist | 9 Mount Bethel Rd Ste 203a, Warren, NJ 07059-5603 | 2020-10-07 |
| 1083252043 | Jordyn Welles | Physical Therapist | 13850 E 12 Mile Rd # 2a, Warren, MI 48088-3730 | 2019-12-20 |
| 1518514397 | Synaptic Rehabilitation, LLC | Physical Therapist | 5 Boxwood Way, Warren, NJ 07059-6859 | 2019-08-26 |
| 1598311995 | Trinity Rehab Somerset Pa | Physical Therapist | 9 Mount Bethel Rd Unit 203a, Warren, NJ 07059-5603 | 2019-08-13 |
| 1841856549 | Krista Lynn Iuliucci | Physical Therapist | 177 Washington Valley Rd Ste 16, Warren, NJ 07059-7210 | 2019-05-17 |
| 1477119279 | Riana Taktikos | Physical Therapist | 2581 North Rd Ne Ste A, Warren, OH 44483-3052 | 2019-05-16 |
| 1598248965 | Spencer Lin | Physical Therapist | 125 Washington Valley Rd, Warren, NJ 07059-7170 | 2018-09-12 |
| 1477032928 | Alyssa Cathryn Settelmaier | Physical Therapist | 2265 Market St Ste A, Warren, PA 16365-4682 | 2018-08-07 |
| 1750877163 | Ankit Prabhakar | Physical Therapist | 5701 Chicago Rd Ste D, Warren, MI 48092-5033 | 2018-07-09 |
| 1568954071 | Jordan Allen Roberts | Physical Therapist | 8254 High St Ne, Warren, OH 44484-1923 | 2018-05-31 |
| Find all providers in WARREN | ||||
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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.