Provider Demographics
NPI:1013982701
Name:NORTH CENTRAL HAND REHABILITATION, INC
Entity Type:Organization
Organization Name:NORTH CENTRAL HAND REHABILITATION, INC
Other - Org Name:ABILITIES HAND REHAB & THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DODD
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CHT
Authorized Official - Phone:419-627-2526
Mailing Address - Street 1:2419 E PERKINS AVE
Mailing Address - Street 2:SUITE E, BOX 6
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-7998
Mailing Address - Country:US
Mailing Address - Phone:419-627-2526
Mailing Address - Fax:419-627-4263
Practice Address - Street 1:2419 E PERKINS AVE
Practice Address - Street 2:SUITE E, BOX 6
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-7998
Practice Address - Country:US
Practice Address - Phone:419-627-2526
Practice Address - Fax:419-627-4263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X, 2251P0200X, 2251X0800X
OHOT-02085225X00000X
OH9410000442225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000168180OtherANTHEM BCBS
OH=========004OtherMEDICAL MUTUAL
OH9291351Medicare UPIN