MEDICARE: REHAB PROFESSIONALS OF CLEVELAND, INC.

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	3832	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	167835	OTHER	OH	ANTHEM BC BS
2	64-00247	OTHER	OH	UNITED HEALTHCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	302608368-005	OTHER	OH	MEDICAL MUTUAL OF OH

General Provider Information

NPI Number	:	1366484917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB PROFESSIONALS OF CLEVELAND, INC.

Provider Business Mailing Address
First Line	:	7000 TOWN CENTRE DR
Second Line	:	SUITE 400
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-4008
Country	:	US
Telephone Number	:	440-526-8566
Fax Number	:	440-546-8280

Provider Business Practice Location Address
First Line	:	7000 TOWN CENTRE DR
Second Line	:	SUITE 400
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-4008
Country	:	US
Telephone Number	:	440-526-8566
Fax Number	:	440-546-8280

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. EDWARD J AUBE
Credential	:	P.T.
Telephone Number	:	440-526-8566

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	04/20/2008

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