SOUTHWOODS REHABILITATION LLC (NPI# 1164831103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164831103 |
| Entity Type | Organization |
| Organization Name | SOUTHWOODS REHABILITATION LLC |
| Other Organization Name | SOUTHWOODS PHYSICAL THERAPY |
| Practice Address |
2860 Canfield Rd Youngstown OH 44511-2803 |
| Mailing Address |
7630 Southern Blvd Boardman OH 44512-5633 |
| Practice Telephone | 3307996298 |
| Practice Fax Number | 3307994867 |
| Mailing Telephone | 3307298001 |
| Mailing Fax Number | 3307298029 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-10 |
| Authorized Official Name | MR. EDWARD MURANSKY (CEO) |
| Authorized Official Telephone | 3307581954 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE SURGERY CENTER AT SOUTHWOODS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0046AS | OH | Ambulatory Health Care Facilities |
| N | 282N00000X | General Acute Care Hospital | 1485 | OH | Hospitals |
| Y | 284300000X | Special Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CMS CERTIFICATION NUMBER | 36-0352 | 01 |
| OH | 2369619 | 05 |
| Other Name | Type Code |
|---|---|
| SOUTHWOODS PHYSICAL THERAPY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346659380 | Southwoods Rehabilitation LLC | Physical Therapist | 153 Javit Ct, Austintown, OH 44515-2410 | 2014-08-04 |
| 1770991879 | Southwoods Rehabilitation LLC | Physical Therapist | 160 Marwood Cir, Boardman, OH 44512-6215 | 2014-08-01 |
| 1528477288 | Southwoods Rehabilitation LLC | Occupational Therapist | 7620 Southern Blvd, Suite 3, Boardman, OH 44512-5667 | 2014-08-07 |
| 1881003820 | Southwoods Rehabilitation LLC | Physical Therapist | 17 E River St, Suite A, Newton Falls, OH 44444-1373 | 2014-08-04 |
| 1255740296 | Southwoods Rehabilitation LLC | Physical Therapist | 319 N Main St, Columbiana, OH 44408-1065 | 2014-08-04 |
| 1699184630 | Southwoods Rehabilitation LLC | Physical Therapist | 332 W Sixth St, Suite B, East Liverpool, OH 43920-2812 | 2014-08-04 |
| 1437568474 | Southwoods Rehabilitation LLC | Physical Therapist | 1397 S Canfield Niles Rd, Unit 1, Austintown, OH 44515-4084 | 2014-08-04 |
| 1336558378 | Southwoods Rehabilitation LLC | Physical Therapist | 2959 Canfield Rd, Youngstown, OH 44511-2800 | 2014-08-04 |
| 1508275546 | Southwoods Rehabilitation LLC | Physical Therapist | 30 S Main St, Poland, OH 44514-1914 | 2014-08-04 |
| Street Address |
2860 CANFIELD RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44511-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114079266 | Peter T. Betras | Chiropractor | 2860 Canfield Rd, Youngstown, OH 44511-2803 | 2007-01-17 |
| 1215574710 | Emily K Winstead | Occupational Therapist | 2860 Canfield Rd, Youngstown, OH 44511-2803 | 2019-12-03 |
| 1063847747 | Tudor Home Therapies Inc | Occupational Therapist | 2860 Canfield Rd, Youngstown, OH 44511-2803 | 2013-09-12 |
| 1861529646 | Betras Chiropractic Center Co. | Chiropractor | 2860 Canfield Rd, Youngstown, OH 44511-2803 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365755 | Khaled Omar | Student in an Organized Health Care Education/Training Program | Shaheed Tayar St, Zagazig, AL SHARKEYA 44511 | 2020-04-25 |
| 1720587785 | Canfield Leasing Co., LLC | Skilled Nursing Facility | 2958 Canfield Road, Youngstown, OH 44511 | 2018-02-06 |
| 1437671856 | Tyisha J Williams | Home Health | 2704 Volney Rd, Youngstown, OH 44511 | 2017-07-07 |
| 1831584234 | Tamara Ann Ramsey | Home Health Aide | 3634 Cascade Dr., Youngstown, OH 44511 | 2015-04-02 |
| 1679919153 | Amy Sue Lutz | Licensed Practical Nurse | 3970 Chaucer Ln, Youngstown, OH 44511 | 2013-05-10 |
| 1366622342 | Professional Rehab Services Inc | Physical Therapist | 4199 Kirk Rd, Youngstown, OH 44511 | 2007-11-07 |
| 1407077357 | Tamy D Mcbride | Home Health Aide | 3631 Dover Rd, Youngstown, OH 44511 | 2007-05-01 |
| 1619058229 | Joseph Michael Malys | Dentist | 3415 Canfield Rd, Youngstown, OH 44511 | 2006-10-18 |
| 1689695306 | Jennifer Lynn Flo | Podiatrist | 3507 Canfield Rd Ste 7, Youngstown, OH 44511 | 2006-07-21 |
| 1255396040 | James R Hovell | Dentist | 361 W Indianola, Youngstown, OH 44511 | 2006-04-18 |
| Find all providers in zip 44511 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
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|---|---|---|---|---|
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| 1558922476 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1 Eagle Valley Ct Ste 101, Broadview Hts, OH 44147-2982 | 2019-06-21 |
| 1134602808 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 500 W Hopocan Ave Ste 102, Barberton, OH 44203-2262 | 2018-09-10 |
| 1225528938 | Wellcare Health System, LLC | Special Hospital | 241 N Superior St Ste 102, Toledo, OH 43604-1253 | 2018-05-17 |
| 1013428259 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 437 Portage Trl Ste B, Cuyahoga Falls, OH 44221-3227 | 2017-10-16 |
| 1952832305 | Long Island Jewish Forest Hills Hospital | Special Hospital | 3590 Blackberry Ln, Westlake, OH 44145-7400 | 2017-03-27 |
| 1770025652 | Aultman Radiation Oncology of Alliance Community Hosp | Special Hospital | 885 South Sawburg Ave Suite 108, Alliance, OH 44601-5926 | 2016-11-09 |
| 1245685452 | Rock Creek Medical Center | Special Hospital | 2863 St Rt 45 N, Rock Creek, OH 44084 | 2016-04-26 |
| 1558785329 | Saskia Richter | Special Hospital | 1442 Neil Ave Apt A, Columbus, OH 43201-2651 | 2014-02-13 |
| 1750626735 | Acuity Specialty Hospital | Special Hospital | 4697 Harrison St Fl 2, Bellaire, OH 43906-1338 | 2012-12-03 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44511 |
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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.