MEDICARE: REHABILITATION AQUATICS AND PHYSICAL THERAPY, 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	225X00000X	Occupational Therapist	01872	OH
2	225X00000X	Occupational Therapist	03101	OH
3	225100000X	Physical Therapist	03396	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

General Provider Information

NPI Number	:	1639175474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION AQUATICS AND PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	3130 CENTRAL PARK W
Second Line	:	STE A
City	:	TOLEDO
State	:	OH
Zip	:	43617-1088
Country	:	US
Telephone Number	:	419-841-9622
Fax Number	:	419-843-8288

Provider Business Practice Location Address
First Line	:	3130 CENTRAL PARK W
Second Line	:	STE A
City	:	TOLEDO
State	:	OH
Zip	:	43617-1088
Country	:	US
Telephone Number	:	419-841-9622
Fax Number	:	419-843-8288

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. CINDY MARIE BINKLEY
Credential	:	RKT
Telephone Number	:	419-841-9622

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	10/22/2013

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