1972923399 NPI number — MRS. AMANDA JEAN MCMAHAN MS, AT, ATC

Table of content: RICARDO ORTIZ AMADOR (NPI 1720615149)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972923399 NPI number — MRS. AMANDA JEAN MCMAHAN MS, AT, ATC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCMAHAN
Provider First Name:
AMANDA
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, AT, ATC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KOHLS
Provider Other First Name:
AMANDA
Provider Other Middle Name:
JEAN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, AT, ATC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1972923399
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/24/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 EAST WASHINGTON STREET
Provider Second Line Business Mailing Address:
MEDINA HOSPITAL REHAB AND SPORTS THERAPY
Provider Business Mailing Address City Name:
MEDINA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44256
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-725-1000
Provider Business Mailing Address Fax Number:
330-721-4913

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
262 STATE ROUTE 58
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SULLIVAN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44880-9762
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-653-1809
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 283X00000X , with the licence number:  AT. 003709 , 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)





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