Provider Demographics
NPI:1679846463
Name:ELIXA THERAPY INC
Entity Type:Organization
Organization Name:ELIXA THERAPY INC
Other - Org Name:ENHANCED HOMECARE OF MEDINA, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SWINARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:440-339-4228
Mailing Address - Street 1:104 PARTRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4010
Mailing Address - Country:US
Mailing Address - Phone:440-339-4228
Mailing Address - Fax:440-352-7544
Practice Address - Street 1:8437 MAYFIELD RD STE 102
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-2584
Practice Address - Country:US
Practice Address - Phone:440-352-7533
Practice Address - Fax:440-352-7544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH007680225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty