Healthcare Provider Details

I. General information

NPI: 1285731554
Provider Name (Legal Business Name): EQUITY RECOVERY GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26300 EUCLID AVE SUITE 702
EUCLID OH
44132-3708
US

IV. Provider business mailing address

26300 EUCLID AVE SUITE 702
EUCLID OH
44132-3708
US

V. Phone/Fax

Practice location:
  • Phone: 216-261-6161
  • Fax: 216-261-6656
Mailing address:
  • Phone: 216-261-6161
  • Fax: 216-261-6656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number34-00-5161-A
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5293
License Number StateOH

VIII. Authorized Official

Name: MS. DIANNE JAVIER
Title or Position: PRESIDENT
Credential:
Phone: 216-261-6161