YOUNGSTOWN PHYSICAL REHABILITATION (NPI# 1184253148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184253148 |
| Entity Type | Organization |
| Organization Name | YOUNGSTOWN PHYSICAL REHABILITATION |
| Practice Address |
5815 Market St Ste 6 Boardman OH 44512-2915 |
| Practice Telephone | 3302599575 |
| Practice Fax Number | 3302599576 |
| Mailing Telephone | 3302599575 |
| Mailing Fax Number | 3302599576 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | DR. ERIC J UBRIN (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 3302599575 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | NPI | 1417348202 | 01 |
| Street Address |
5815 MARKET ST STE 6 |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982685855 | Joseph A Mika | Dentist | 5815 Market St Ste 6, Boardman, OH 44512-2915 | 2005-11-08 |
| 1609230127 | Og Medical Services LLC | Neuromusculoskeletal Medicine & OMM | 5815 Market St Ste 6, Boardman, OH 44512-2915 | 2016-04-11 |
| 1952605461 | Joseph A Mika Dds LLC | Dentist | 5815 Market St Ste 6, Boardman, OH 44512-2915 | 2010-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972983252 | Center for Stroke & Hand Recovery Inc. | Clinic/Center | 36650 Bainbridge Rd, Solon, OH 44139-3131 | 2015-06-02 |
| 1306025572 | A S Rehab, Inc | Clinic/Center | 8630 Washington Church Rd, Miamisburg, OH 45342-3795 | 2007-10-24 |
| 1184682973 | Eagle Eye Family Development Center | Clinic/Center | 4515 N Ridge Rd E, Ashtabula, OH 44004-4364 | 2006-05-02 |
| 1881687085 | Travco Rehabilitation Center, Inc. | Clinic/Center | 4030 Boardman Canfield Rd, Suite 200c, Canfield, OH 44406-9505 | 2005-08-24 |
| 1114475258 | Jane Bragg-barnes | Clinic/Center | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2016-09-19 |
| 1316307499 | Highland District Hospital | Clinic/Center | 1108 Northview Dr, Hillsboro, OH 45133-1184 | 2016-03-02 |
| 1215329909 | Old School LLC | Clinic/Center | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2015-03-04 |
| 1356675003 | Lake Hospital System, Inc | Clinic/Center | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2009-09-29 |
| 1295938272 | Menorah Park Center for Senior Living | Clinic/Center | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2007-06-07 |
| 1134330194 | Midwest Rehab Inc | Clinic/Center | 1200 S Main St, Ada, OH 45810-2616 | 2007-05-24 |
| 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.