Healthcare Provider Details

I. General information

NPI: 1700076007
Provider Name (Legal Business Name): TOPS REHABILITATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CROSS POINTE RD SUITE L
GAHANNA OH
43230-6688
US

IV. Provider business mailing address

800 CROSS POINTE RD SUITE L
GAHANNA OH
43230-6688
US

V. Phone/Fax

Practice location:
  • Phone: 614-864-8677
  • Fax: 614-864-9805
Mailing address:
  • Phone: 614-864-8677
  • Fax: 614-864-9805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHARLOTTE OLIVER
Title or Position: OWNER
Credential:
Phone: 614-864-8677