Healthcare Provider Details

I. General information

NPI: 1346250453
Provider Name (Legal Business Name): RINALDI PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 02/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SOUTH AVE SUITE 7
BOARDMAN OH
44512-3644
US

IV. Provider business mailing address

7000 SOUTH AVE SUITE 7
BOARDMAN OH
44512-3644
US

V. Phone/Fax

Practice location:
  • Phone: 330-629-8834
  • Fax: 330-629-9362
Mailing address:
  • Phone: 330-629-8834
  • Fax: 330-629-9362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT006300
License Number StateOH

VIII. Authorized Official

Name: MR. MICHAEL A RINALDI
Title or Position: OWMER/CEO
Credential: PT, OCS
Phone: 330-629-8834