Healthcare Provider Details

I. General information

NPI: 1538238274
Provider Name (Legal Business Name): REHAB DYNAMICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 CENTRAL PARK W
TOLEDO OH
43617-1083
US

IV. Provider business mailing address

19645 PROGRESS DR
STRONGSVILLE OH
44149-3205
US

V. Phone/Fax

Practice location:
  • Phone: 419-841-1840
  • Fax: 419-841-1841
Mailing address:
  • Phone: 440-234-8833
  • Fax: 440-234-3313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateOH

VIII. Authorized Official

Name: ANN M NAGLE
Title or Position: PROVIDER OWNER
Credential: PT
Phone: 419-841-1840