1346250453 NPI number — RINALDI PHYSICAL THERAPY

Table of content: MRS. RATESHA BERTHIER LCSW (NPI 1942856877)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346250453 NPI number — RINALDI PHYSICAL THERAPY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RINALDI PHYSICAL THERAPY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346250453
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/14/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7000 SOUTH AVE
Provider Second Line Business Mailing Address:
SUITE 7
Provider Business Mailing Address City Name:
BOARDMAN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44512-3644
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-629-8834
Provider Business Mailing Address Fax Number:
330-629-9362

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7000 SOUTH AVE
Provider Second Line Business Practice Location Address:
SUITE 7
Provider Business Practice Location Address City Name:
BOARDMAN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44512-3644
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-629-8834
Provider Business Practice Location Address Fax Number:
330-629-9362
Provider Enumeration Date:
08/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RINALDI
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWMER/CEO
Authorized Official Telephone Number:
330-629-8834

Provider Taxonomy Codes

  • Taxonomy code: 2251X0800X , with the licence number:  PT006300 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2884106 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com