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	OH 3832	OH

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	23175384702	OTHER	OH	OHIO BUREAU WORKERS COMP

General Provider Information

NPI Number	:	1508052044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB PROFESSIONALS OF CLEVELAND, INC.

Provider Business Mailing Address
First Line	:	23887 LORAIN RD
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-2227
Country	:	US
Telephone Number	:	440-777-1764
Fax Number	:

Provider Business Practice Location Address
First Line	:	23887 LORAIN RD
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-2227
Country	:	US
Telephone Number	:	440-777-1764
Fax Number	:

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

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	09/19/2007

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