Provider Demographics
NPI:1790737534
Name:REHABILITEX, INC.
Entity Type:Organization
Organization Name:REHABILITEX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARGANO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:440-498-9723
Mailing Address - Street 1:6001 COCHRAN RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3310
Mailing Address - Country:US
Mailing Address - Phone:440-498-9723
Mailing Address - Fax:440-498-9725
Practice Address - Street 1:6001 COCHRAN RD
Practice Address - Street 2:SUITE 202
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3310
Practice Address - Country:US
Practice Address - Phone:440-498-9723
Practice Address - Fax:440-498-9725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0184465Medicaid
OH0184465Medicaid
OH366653Medicare Oscar/Certification