Provider Demographics
NPI:1700054855
Name:REHAB PLUS
Entity Type:Organization
Organization Name:REHAB PLUS
Other - Org Name:ROBERT P. RUNKEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:RUNKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:740-264-0772
Mailing Address - Street 1:4217 MALL DR
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-3011
Mailing Address - Country:US
Mailing Address - Phone:740-264-0772
Mailing Address - Fax:740-264-0771
Practice Address - Street 1:4217 MALL DR
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-3011
Practice Address - Country:US
Practice Address - Phone:740-264-0772
Practice Address - Fax:740-264-0771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2213643Medicaid
OH366641Medicare Oscar/Certification