Provider Demographics
NPI:1245240589
Name:RINALDI, MICHAEL ANTHONY (PT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:RINALDI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:ANTHONY
Other - Last Name:RINALDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:656 YOUNGSTOWN WARREN RD
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-4356
Mailing Address - Country:US
Mailing Address - Phone:330-505-1362
Mailing Address - Fax:330-505-1813
Practice Address - Street 1:656 YOUNGSTOWN WARREN RD
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-4356
Practice Address - Country:US
Practice Address - Phone:330-505-1362
Practice Address - Fax:330-505-1813
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT0063002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2821549Medicaid
OHRI4011913Medicare PIN