Provider Demographics
NPI:1073637948
Name:ACTION PHYSICAL THERAPY AND REHABILITATION, INC.
Entity Type:Organization
Organization Name:ACTION PHYSICAL THERAPY AND REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:330-534-8500
Mailing Address - Street 1:609 W LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-1750
Mailing Address - Country:US
Mailing Address - Phone:330-534-8500
Mailing Address - Fax:330-534-3926
Practice Address - Street 1:168 S HIGH ST
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410-1416
Practice Address - Country:US
Practice Address - Phone:330-637-0080
Practice Address - Fax:330-637-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT008736225100000X
OHPT011280225100000X
OHPT009681225100000X
OHPT006022225100000X
225200000X, 226300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
Not Answered226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000218075OtherANTHEM
OH2536643Medicaid
OH94803OtherHEALTH ASSURANCE
OH207503857002OtherMMO
OH2400271Medicaid
OH64-97047OtherUHC
OH=========027Medicaid
OH64-97047OtherUHC
OH207503857002OtherMMO
OH=========027Medicaid
OH2536643Medicaid