MEDICARE: THERACARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114907862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERACARE INC

Provider Business Mailing Address
First Line	:	1219 W 1ST ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45504-1940
Country	:	US
Telephone Number	:	937-322-8151
Fax Number	:	937-322-8157

Provider Business Practice Location Address
First Line	:	1219 W 1ST ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45504-1940
Country	:	US
Telephone Number	:	937-322-8151
Fax Number	:	937-322-8157

Authorized Official
Title or Position	:	REIMBURSEMENT MG
Name	:	MS. DEBRA RENA RENNARD
Credential	:
Telephone Number	:	740-965-0016

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1184440208 — STEPHEN LININGER
Practice Location Address:

1940 DEVON DR
SPRINGFIELD, OH
45503-2119

Practice Phone: 937-244-0820
Practice Fax:

1821938945 — SHA LEIGH LEMING
Practice Location Address:

1421 PARKER CT
SPRINGFIELD, OH
45504-2855

Practice Phone: 513-941-4999
Practice Fax:

1538677364 — ALLYSON CROOK MSW, LSW
Practice Location Address:

474 N YELLOW SPRINGS ST
SPRINGFIELD, OH
45504-2463

Practice Phone: 937-399-9500
Practice Fax:

1851974935 — ERICA DUDLEY APRN
Practice Location Address:

201 N YELLOW SPRINGS ST
SPRINGFIELD, OH
45504-2650

Practice Phone: 833-510-4357
Practice Fax:

1346182227 — SHANNON MOORMAN
Practice Location Address:

474 N YELLOW SPRINGS ST
SPRINGFIELD, OH
45504-2463

Practice Phone: 937-399-9500
Practice Fax:

Directions to “THERACARE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.