MEDICARE: CINCINNATI REHABILITATION CENTER

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	111NI0013X	Independent Medical Examiner Chiropractor	1112	OH
2	111NI0900X	Internist Chiropractor	1112	OH
3	111NN1001X	Nutrition Chiropractor	1112	OH
4	111NX0100X	Occupational Health Chiropractor	1112	OH
5	111NX0800X	Orthopedic Chiropractor	1112	OH
6	111NR0400X	Rehabilitation Chiropractor	1112	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000011706	OTHER	OH	ANTHEM
2	124110800	OTHER		DEPT OF LABOR
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013018753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CINCINNATI REHABILITATION CENTER

Provider Business Mailing Address
First Line	:	10198 SPRINGFIELD PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-1448
Country	:	US
Telephone Number	:	513-772-9065
Fax Number	:	513-772-2961

Provider Business Practice Location Address
First Line	:	10198 SPRINGFIELD PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-1448
Country	:	US
Telephone Number	:	513-772-9065
Fax Number	:	513-772-2961

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PATRICIA E BENDER
Credential	:	R.N.,D.C.
Telephone Number	:	513-772-9065

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	02/21/2011

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Directions to “CINCINNATI REHABILITATION CENTER ” Practice Location

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