Provider Demographics
NPI:1346250453
Name:RINALDI PHYSICAL THERAPY
Entity Type:Organization
Organization Name:RINALDI PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWMER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RINALDI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, OCS
Authorized Official - Phone:330-629-8834
Mailing Address - Street 1:7000 SOUTH AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-3644
Mailing Address - Country:US
Mailing Address - Phone:330-629-8834
Mailing Address - Fax:330-629-9362
Practice Address - Street 1:7000 SOUTH AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-3644
Practice Address - Country:US
Practice Address - Phone:330-629-8834
Practice Address - Fax:330-629-9362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT0063002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2884106Medicaid
OH2884106Medicaid
OH=========OtherTAX ID