NPI Code Details Logo

NPI 1265240337

NPI 1265240337 : ADVANCEWELL THERAPY LLC : CORTLAND, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265240337
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ADVANCEWELL THERAPY LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/20/2024
-----------------------------------------------------
    Last Update Date     |    12/20/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    291 MICHAELS CT 
-----------------------------------------------------
    City                 |    CORTLAND
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44410-2002
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    330-240-5566
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    291 MICHAELS CT 
-----------------------------------------------------
    City                 |    CORTLAND
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44410-2002
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    330-240-5566
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    MR. DAVID JAMES ORAVEC 
-----------------------------------------------------
    Credential           |    OTR/L, MBA
-----------------------------------------------------
    Telephone            |    330-240-5566
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225XE0001X
-----------------------------------------------------
    Taxonomy Name        |    Environmental Modification Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225XE1200X
-----------------------------------------------------
    Taxonomy Name        |    Ergonomics Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    225XG0600X
-----------------------------------------------------
    Taxonomy Name        |    Gerontology Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    225XH1200X
-----------------------------------------------------
    Taxonomy Name        |    Hand Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    225XL0004X
-----------------------------------------------------
    Taxonomy Name        |    Low Vision Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    2083X0100X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    225XM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    225XN1300X
-----------------------------------------------------
    Taxonomy Name        |    Neurorehabilitation Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    225XP0019X
-----------------------------------------------------
    Taxonomy Name        |    Physical Rehabilitation Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #11
-----------------------------------------------------
    Taxonomy Code        |    225XP0200X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #12
-----------------------------------------------------
    Taxonomy Code        |    208100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.