MEDICARE: PM&R NORTH, 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	208100000X	Physical Medicine & Rehabilitation Physician		OH
2	225100000X	Physical Therapist		OH

General Provider Information

NPI Number	:	1508863077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PM&R NORTH, INC.

Provider Business Mailing Address
First Line	:	822 E WESTERN RESERVE RD
Second Line	:
City	:	POLAND
State	:	OH
Zip	:	44514-3359
Country	:	US
Telephone Number	:	330-758-8223
Fax Number	:

Provider Business Practice Location Address
First Line	:	822 E WESTERN RESERVE RD
Second Line	:
City	:	POLAND
State	:	OH
Zip	:	44514-3359
Country	:	US
Telephone Number	:	330-758-8223
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RONALD M YARAB JR.
Credential	:
Telephone Number	:	330-758-8223

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	09/11/2025

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