| Innovative Therapy Center | |
|
11330 Cleveland Ave Nw Uniontown OH 44685-8078 | |
| (330) 595-9059 | |
| Not Available |
| Full Name | Innovative Therapy Center |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 11330 Cleveland Ave Nw, Uniontown, Ohio |
| Authorized Official Name and Position | Katijo Makin (OWNER/THERAPIST) |
| Authorized Official Contact | 3305959059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Therapy Center 11330 Cleveland Ave Nw Uniontown OH 44685-8078 Ph: (330) 595-9059 | Innovative Therapy Center 11330 Cleveland Ave Nw Uniontown OH 44685-8078 Ph: (330) 595-9059 |
| NPI Number | 1588027866 |
|---|---|
| Provider Enumeration Date | 04/03/2016 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Medicare PECOS PAC ID | 4183913999 |
|---|---|
| Medicare Enrollment ID | O20160518001415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588027866 | NPI | - | NPPES |
| Provider Name | Katijo Makin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538535349 PECOS PAC ID: 5092004804 Enrollment ID: I20160518001756 |
| Provider Name | Bethany J Kessel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235549817 PECOS PAC ID: 2466701537 Enrollment ID: I20180822002689 |
| Provider Name | Amanda K Kim |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669956330 PECOS PAC ID: 8820332976 Enrollment ID: I20181130001787 |
| Provider Name | Kimberly N Adelman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093377459 PECOS PAC ID: 8123356821 Enrollment ID: I20190819004056 |
| Provider Name | Leanne Lynn Reale |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750051793 PECOS PAC ID: 7618360934 Enrollment ID: I20220209002768 |
| Provider Name | Mallory R. Harris |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669616660 PECOS PAC ID: 6800280868 Enrollment ID: I20240227002484 |
| Provider Name | Amanda Rearick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831557719 PECOS PAC ID: 5799120382 Enrollment ID: I20240305003817 |
| Provider Name | Elizabeth Coffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104120211 PECOS PAC ID: 5294171476 Enrollment ID: I20240311000741 |
| Provider Name | Kiersten Leeann Owens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376320127 PECOS PAC ID: 3173969391 Enrollment ID: I20240311002476 |
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The Oak Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3838 Massillon Rd, Suite 360, Uniontown, OH 44685 Phone: 330-896-9625 Fax: 330-896-9768 | |
Ellie Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1525 Corporate Woods Pkwy Ste 300, Uniontown, OH 44685 Phone: 330-207-4500 | |
Dogwood Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3570 Executive Dr Ste 201-a, Uniontown, OH 44685 Phone: 216-365-8525 | |
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