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NPI Code Detail

MEDICARE: REGENERATION SCHOOLS OHIO

MEDICARE: REGENERATION SCHOOLS OHIO
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
1101YS0200XSchool Counselor
2103TM1800XIntellectual & Developmental Disabilities Psychologist
31041S0200XSchool Social Worker
4224Z00000XOccupational Therapy Assistant
5225100000XPhysical Therapist
6225XP0200XPediatric Occupational Therapist
7251J00000XNursing Care Agency
8235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1467247288
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGENERATION SCHOOLS OHIO
Provider Business Mailing Address
First Line : 3595 WASHINGTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2617
Country : US
Telephone Number : 847-347-1253
Fax Number :
Provider Business Practice Location Address
First Line : 3595 WASHINGTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2617
Country : US
Telephone Number : 847-347-1253
Fax Number :
Authorized Official
Title or Position : SENIOR DIRECTOR OF SPECIALIZED SERV
Name : MITCH ERIC ELATKIN
Credential :
Telephone Number : 847-347-1253
Provider Enumeration Date : 04/11/2025
Last Update Date : 04/11/2025

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Directions to “REGENERATION SCHOOLS OHIO ” Practice Location

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