Healthcare Provider Details

I. General information

NPI: 1972155257
Provider Name (Legal Business Name): ACTION PHYSICAL THERAPY AND REHABILITATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2019
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 EAST STATE STREET
SALEM OH
44460
US

IV. Provider business mailing address

609 W LIBERTY ST
HUBBARD OH
44425-1750
US

V. Phone/Fax

Practice location:
  • Phone: 330-534-8500
  • Fax: 330-534-3926
Mailing address:
  • Phone: 330-534-8500
  • Fax: 330-534-3926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name: REBECCA MORGAN
Title or Position: PROGRAM MANAGER
Credential:
Phone: 330-534-8500