Healthcare Provider Details

I. General information

NPI: 1477540383
Provider Name (Legal Business Name): CIRCLE REHABILITATION PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 SUMMIT DR
CANFIELD OH
44406-9510
US

IV. Provider business mailing address

PO BOX 66
CANFIELD OH
44406-0066
US

V. Phone/Fax

Practice location:
  • Phone: 330-759-2480
  • Fax: 330-759-2569
Mailing address:
  • Phone: 330-759-2603
  • Fax: 330-759-1418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOHN W ARFARAS
Title or Position: PRESIDENT
Credential:
Phone: 330-759-2480