Healthcare Provider Details

I. General information

NPI: 1245794122
Provider Name (Legal Business Name): ACTIVE RX REHAB AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2019
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7661 CRILE RD STE 3
CONCORD TOWNSHIP OH
44077-9774
US

IV. Provider business mailing address

7661 CRILE RD STE 3
CONCORD TOWNSHIP OH
44077-9774
US

V. Phone/Fax

Practice location:
  • Phone: 440-423-5577
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KYLE JOSEPH HRUTKAY
Title or Position: CEO
Credential: PT, DPT, CPT
Phone: 440-423-5577