MEDICARE: MILLENNIUM REHABILITATION- A PHYSICAL THERAPY AND SPORTS MEDICINE CTR

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	261QP2000X	Physical Therapy Clinic/Center

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	:	1619070513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLENNIUM REHABILITATION- A PHYSICAL THERAPY AND SPORTS MEDICINE CTR

Provider Business Mailing Address
First Line	:	2567 CENTER RD
Second Line	:
City	:	HINCKLEY
State	:	OH
Zip	:	44233-9561
Country	:	US
Telephone Number	:	330-558-0100
Fax Number	:	330-558-0110

Provider Business Practice Location Address
First Line	:	2546 CENTER RD
Second Line	:
City	:	HINCKLEY
State	:	OH
Zip	:	44233-9561
Country	:	US
Telephone Number	:	330-558-0100
Fax Number	:	330-558-0110

Authorized Official
Title or Position	:	OWNER, CEO
Name	:	MS. PATRICIA JEAN STRAZAR
Credential	:	PT
Telephone Number	:	330-558-0100

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	12/27/2019

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