Healthcare Provider Details

I. General information

NPI: 1104047679
Provider Name (Legal Business Name): AARIS THERAPY GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 YOUNGSTOWN WARREN RD STE C
NILES OH
44446-4626
US

IV. Provider business mailing address

950 YOUNGSTOWN WARREN RD STE C
NILES OH
44446-4626
US

V. Phone/Fax

Practice location:
  • Phone: 330-505-1606
  • Fax: 330-423-4555
Mailing address:
  • Phone: 330-505-1606
  • Fax: 330-423-4555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT4984
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP5596
License Number StateOH

VIII. Authorized Official

Name: TIFFANY HURLBUT
Title or Position: EXECUTIVE DIRECTOR
Credential: MA,CCC-SLP
Phone: 330-505-1606