MATRIX REHABILITATION OHIO, INC (NPI# 1235166513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235166513 |
| Entity Type | Organization |
| Organization Name | MATRIX REHABILITATION OHIO, INC |
| Other Organization Name | NORTHERN CINCINNATI SPORTS MEDICINE & PHYSICAL THERAPY |
| Practice Address |
3174 Mack Rd Unit 6&7 Fairfield OH 45014-5369 |
| Mailing Address |
665 Philadelphia St Indiana PA 15701-3941 |
| Practice Telephone | 5138746502 |
| Practice Fax Number | 5138744213 |
| Mailing Telephone | 7244653496 |
| Mailing Fax Number | 7244653726 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DENNIS FITZPATRICK (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6106447824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northern Cincinnati Sports Medicine & Physical Therapy | Doing Business As Name - Organization |
| Street Address |
3174 MACK RD UNIT 6&7 |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-5369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346688801 | Sparks Eye Care LLC | Optometrist | 3174 Mack Rd, Ste. #3, Fairfield, OH 45014-5370 | 2013-06-06 |
| 1396078994 | David Michael Sparks | Optometrist | 3174 Mack Rd, Ste 3, Fairfield, OH 45014-5369 | 2009-09-14 |
| 1639382658 | Peggy Crema Schomaker | Dentist | 3174 Mack Rd, Suite 5, Fairfield, OH 45014-5370 | 2007-05-07 |
| 1336281898 | Robert M Simms | Psychiatry & Neurology | 3174 Mack Rd, Unit 3, Fairfield, OH 45014 | 2007-02-13 |
| 1649312109 | Ron A Clemons | Social Worker | 3174 Mack Rd, Unit 3, Fairfield, OH 45014 | 2007-02-13 |
| 1326180852 | Craig Arthur Spletzer | Dentist | 3174 Mack Rd, Suite 4, Fairfield, OH 45014-5370 | 2007-02-12 |
| 1689725962 | Robert John Limardi | Dentist | 3174 Mack Rd, Suite 1, Fairfield, OH 45014-5370 | 2007-01-15 |
| 1083797609 | Robert M Simms Md Inc | Psychiatry & Neurology | 3174 Mack Rd, Unit 3, Fairfield, OH 45014 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669009973 | Arvin Velarde | Clinic/Center | 630 Verona Ct, Fairfield, CA 94534-6752 | 2020-03-25 |
| 1740577964 | Kevin Norman Kopack | Clinic/Center | 297 Passaic Ave, Unit 3, Fairfield, NJ 07004-2503 | 2011-07-08 |
| 1790789295 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 3001 Dover Ave, Suite B, Fairfield, CA 94533-9795 | 2005-06-13 |
| 1477197747 | Manual Therapy Specialists | Clinic/Center | 1300 Post Rd Ste 210, Fairfield, CT 06824-6038 | 2019-10-30 |
| 1578104667 | Perfect Ten Physical Therapy | Clinic/Center | 27 Law Dr, Fairfield, NJ 07004-3206 | 2019-10-01 |
| 1598134082 | Soulcare Physical Therapy,llc | Clinic/Center | 79 S Benson Rd, Fairfield, CT 06824-6230 | 2015-09-15 |
| 1013209139 | Kamryn Michelle Krueger | Clinic/Center | 2000 S Main St, Fairfield, IA 52556-9572 | 2011-05-08 |
| 1255590675 | Preneta Physical Therapy, PC | Clinic/Center | 2119 Post Rd, Fairfield, CT 06824-5657 | 2008-06-02 |
| 1750585386 | Elizabeth L. Upton, Mspt LLC | Clinic/Center | 303 Linwood Ave, Unit 1c, Fairfield, CT 06824-4900 | 2007-06-14 |
| 1154400927 | John Jarecki Physical Therapy Services LLC | Clinic/Center | 1735 Post Rd, Suite 7, Fairfield, CT 06824-5782 | 2006-11-03 |
| Find all providers in FAIRFIELD | ||||
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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.