Provider Demographics
NPI:1477540383
Name:CIRCLE REHABILITATION PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:CIRCLE REHABILITATION PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:ARFARAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-759-2480
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-0066
Mailing Address - Country:US
Mailing Address - Phone:330-759-2603
Mailing Address - Fax:330-759-1418
Practice Address - Street 1:6600 SUMMIT DR
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9510
Practice Address - Country:US
Practice Address - Phone:330-759-2480
Practice Address - Fax:330-759-2569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
128280700OtherUS DEPT OF LABOR
OH2083169Medicaid
1587202OtherHIGHMARK PA
2163328OtherFIRST HEALTH
95897OtherHEALTH ASSURANCE
OH=========00OtherBWC
OH=========6A00OtherANTHEM
OH2083169Medicaid