MEDICARE: CENTER FOR BALANCE RELATED DISORDERS AND REHABILITATION 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	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	:	1669446944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR BALANCE RELATED DISORDERS AND REHABILITATION INC

Provider Business Mailing Address
First Line	:	7685 BEECHMONT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-4216
Country	:	US
Telephone Number	:	513-231-2700
Fax Number	:	513-231-2666

Provider Business Practice Location Address
First Line	:	7685 BEECHMONT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-4216
Country	:	US
Telephone Number	:	513-231-2700
Fax Number	:	513-231-2666

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PATRICK L SHUMRICK
Credential	:	DPT
Telephone Number	:	513-891-0934

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	10/21/2024

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