MEDICARE: TOLEDO ORTHOPEDIC REHABILITATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000345608	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1003862103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOLEDO ORTHOPEDIC REHABILITATION

Provider Business Mailing Address
First Line	:	4041 W SYLVANIA AVE
Second Line	:	SUITE L004
City	:	TOLEDO
State	:	OH
Zip	:	43623-4465
Country	:	US
Telephone Number	:	419-474-4781
Fax Number	:	419-474-8372

Provider Business Practice Location Address
First Line	:	4041 W SYLVANIA AVE
Second Line	:	SUITE L004
City	:	TOLEDO
State	:	OH
Zip	:	43623-4465
Country	:	US
Telephone Number	:	419-474-4781
Fax Number	:	419-474-8372

Authorized Official
Title or Position	:	DIRECTOR PARTNER
Name	:	MR. WILLIAM HENRY HARTMAN
Credential	:	PHYSICAL THERAPIST
Telephone Number	:	419-474-4781

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	10/30/2007

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Directions to “TOLEDO ORTHOPEDIC REHABILITATION ” Practice Location

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