| Park Rehab, Inc. | |
|
14176 National Rd Sw, Etna, OH 43068-3363 | |
| (740) 927-6782 | |
| Not Available |
| Full Name | Park Rehab, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Geriatrics |
| Location | 14176 National Rd Sw, Etna, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790981033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251G0304X | Physical Therapist - Geriatrics | 004514 (Ohio) | Primary |
| Provider Name | Laurie R Dynes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598190233 PECOS PAC ID: 0042449985 Enrollment ID: I20140218002128 |
| Provider Name | Julie Mast |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710204789 PECOS PAC ID: 1052740818 Enrollment ID: I20200331001548 |
| Provider Name | Todd Thomas Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730335621 PECOS PAC ID: 5193056729 Enrollment ID: I20200504001551 |
| Provider Name | Sierra Marie Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437708922 PECOS PAC ID: 9830587062 Enrollment ID: I20211020002996 |
| Provider Name | Jamie E Crites |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689907446 PECOS PAC ID: 1052700242 Enrollment ID: I20211109002131 |
| Provider Name | Lindsey Tate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447682125 PECOS PAC ID: 9931593191 Enrollment ID: I20220303002119 |
| Provider Name | Phillip Stahr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144388828 PECOS PAC ID: 6305921172 Enrollment ID: I20220322003311 |
| Provider Name | Dmitry Karavaev |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548873631 PECOS PAC ID: 9133515570 Enrollment ID: I20220411002616 |
| Provider Name | Anthony Roscoe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497343875 PECOS PAC ID: 9830565837 Enrollment ID: I20221017000876 |
| Mailing Address | Practice Location Address |
|---|---|
| Park Rehab, Inc. 14176 National Rd Sw, Etna, OH 43068-3363 Ph: (740) 927-6782 | Park Rehab, Inc. 14176 National Rd Sw, Etna, OH 43068-3363 Ph: (740) 927-6782 |
Kerri S Marks, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8200 Hazelton Etna Rd Sw, Ste 300, Etna, OH 43062 Phone: 740-892-3675 Fax: 740-892-9582 | |
Lindsey Tate, D.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 14176 National Rd Sw, Etna, OH 43068 Phone: 740-927-6782 Fax: 740-927-9018 | |
Laura Elizabeth Fellers, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14176 National Rd Sw, Etna, OH 43068 Phone: 740-927-6782 Fax: 740-927-9018 | |
Todd Thomas Park, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 14176 National Rd Sw, Etna, OH 43068 Phone: 740-927-6782 Fax: 740-927-9018 | |
Tara Georganne Thompson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Spring Brook Ct, Etna, OH 43062 Phone: 724-554-2885 |