CONCORDE THERAPY GROUP, INC.; NPI #1780697656

Contact Information

CONCORDE THERAPY GROUP, INC.

4645 BELPAR ST NW
CANTON, OH 44718-3602

Phone: 330-493-4210
Fax: 330-493-4744
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for CONCORDE THERAPY GROUP, INC.

NPI Number 1780697656

LBN Legal business name CONCORDE THERAPY GROUP, INC.

Authorized official MARK MOTTICE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/14/2006

Last updated 05/23/2021 - About 5 years ago

Identifiers

Medicaid

0355949

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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